Edmund Yeboah, OTR

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

024354 Issued in NY

Practice address

245 Oxford Rd Apt 23C
New Hartford, NY 13413-4325

Phone

(646) 804-8774

NPI assigned

Jan 21, 2020

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1579564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579564800000",
    "number": "1396375168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 OXFORD RD APT 23C",
            "city": "NEW HARTFORD",
            "state": "NY",
            "postal_code": "134134325",
            "telephone_number": "646-804-8774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 OXFORD RD APT 23C",
            "city": "NEW HARTFORD",
            "state": "NY",
            "postal_code": "134134325",
            "telephone_number": "646-804-8774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YEBOAH",
        "first_name": "EDMUND",
        "credential": "OTR",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-01-21",
        "last_updated": "2020-01-21",
        "certification_date": "2020-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "024354",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mitchell Witonsky
• Tara Mae Wood, RDH
• Camille L Wrege, OTR/L
• Diane Wroblewski
• Hong Xu, OD
• Marcia M Yero, LPN
• Connor Yingling, MD
• Martha H Zabek, MA CCC-SLP
• Dana M Zacharewicz, M.D.
• Dina Zakharova, MD

• Occupational Therapist in New Hartford, NY
• Providers in New Hartford, NY by specialty
• Occupational Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.