Claire H Blum-Destevens, COTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

002293-1 Issued in NY

Practice address

813 Fay Rd
Syracuse, NY 13219-3009

Phone

(315) 488-2951

NPI assigned

Mar 28, 2011

Sex

Female

Sole proprietor

No

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": "1301270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1301270400000",
    "number": "1457650657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "813 FAY RD",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132193009",
            "telephone_number": "315-488-2951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "813 FAY RD",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132193009",
            "telephone_number": "315-488-2951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLUM-DESTEVENS",
        "first_name": "CLAIRE",
        "middle_name": "H",
        "credential": "COTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-28",
        "last_updated": "2011-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "NY",
            "license": "002293-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joyce E Bloss, RN
• Chantae Blount, LCSW
• Curtis Andrew Blow, PHARMD
• Blue Star Dispatch Service Inc.
• Rebecca Suzanne Blue, MD
• Heather Lynn Blum, L.P.N.
• Alina Boada
• Kwabena A Boahene, MD
• Sandra Boafo Boateng
• Chrissa Bobak, OTR/L

• Occupational Therapy Assistant in Syracuse, NY
• Providers in Syracuse, NY by specialty
• Occupational Therapy Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2011; 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.