Lillian Cultrara, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

025166 Issued in NY

Practice address

4232 Shelby Basin Rd
Medina, NY 14103-9514

Phone

(716) 731-6800

NPI assigned

Jan 5, 2021

Last updated

Jan 5, 2021By the provider in NPPES

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": "1609804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609804800000",
    "number": "1467040543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 BLUEJAY LN",
            "city": "GRAND ISLAND",
            "state": "NY",
            "postal_code": "140721997",
            "telephone_number": "716-909-7978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4232 SHELBY BASIN RD",
            "city": "MEDINA",
            "state": "NY",
            "postal_code": "141039514",
            "telephone_number": "716-731-6800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6175 East Ave",
            "address_purpose": "LOCATION",
            "city": "Newfane",
            "state": "NY",
            "postal_code": "141081334",
            "country_code": "US",
            "telephone_number": "716-778-6455",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CULTRARA",
        "first_name": "LILLIAN",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-05",
        "last_updated": "2021-01-05",
        "certification_date": "2021-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "025166",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anna C Copeland, RD
• William Clayton Cosman, M.D.
• Stacey M Costich, OTA
• Katie Crooks, L.M.T.
• Alexia Mariah Crutchfield, MS. ED., CCC-SLP
• Dale Warren Sponaugle, MD, PC
• Vivian Ann Daly, CCC-SLP,NYS LIC.
• Ami H Desai, PT
• Anthony James Diaz, DPT
• Melissa Bigger Domoy, PT

• Occupational Therapist in Medina, NY
• Providers in Medina, 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 5, 2021; 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.