Individual provider Active NPI

Elizabeth Ashley Lockwood, MS OTR/L

  • Occupational Therapist
  • New Hartford, NY
National Provider Identifier
1457826299
Registry record updated Oct 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Practice address
1650 Champlin Ave
New Hartford, NY 13413-1069
Phone
(315) 625-8600
NPI assigned
Oct 8, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X NY Primary

Addresses

Primary practice location

1650 Champlin Ave
New Hartford, NY 13413-1069

Mailing address

53 Sherrill LN
New Hartford, NY 13413-2833
Phone (315) 527-1490

Other practice location 1

2050 Tilden Ave
New Hartford, NY 13413-3613
Phone (315) 797-3114

Other names 1

  • Elizabeth Ashley Clinch Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240828003422 NY Practitioner - Occupational Therapist in Private Practice 3971042474 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2050 Tilden Ave
New Hartford, NY 13413-3613
Phone (315) 797-3114

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Charles T Sitrin Health Care Center, Inc Occupational Therapist CurrentSince Jun 29, 2024 Accepting new patients
Charles T. Sitrin Health Care Center, Inc Current Accepting new patients

Locations

2050 Tilden Ave
New Hartford, NY 13413
Phone (315) 737-2466

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1538956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538956800000",
    "number": "1457826299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "53 SHERRILL LN",
            "city": "NEW HARTFORD",
            "state": "NY",
            "postal_code": "134132833",
            "telephone_number": "315-527-1490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1650 CHAMPLIN AVE",
            "city": "NEW HARTFORD",
            "state": "NY",
            "postal_code": "134131069",
            "telephone_number": "315-625-8600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2050 Tilden Ave",
            "address_purpose": "LOCATION",
            "city": "New Hartford",
            "state": "NY",
            "postal_code": "134133613",
            "country_code": "US",
            "telephone_number": "315-797-3114",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOCKWOOD",
        "first_name": "ELIZABETH",
        "middle_name": "ASHLEY",
        "credential": "MS OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-08",
        "last_updated": "2018-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "CLINCH",
            "middle_name": "ASHLEY",
            "credential": "MS OTR/L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in New Hartford, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.