Mary Patricia Prostick, OTRL

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

009953-1 Issued in NY

Practice address

315 S Manning Blvd
Albany, NY 12208-1707

Phone

(518) 475-9574

NPI assigned

Dec 5, 2006

Sex

Female

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

Enrolled in NY

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• JH Therapy Services

  • Home Health Agency
  • Long Beach, NY
  • NPI 1417715152

  Occupational Therapist

  Medicare reassignment NPD
• Lifetime Redesign OT, PLLC

  • Geriatric Medicine (Family Medicine) Physician
  • Saint Louis, MO
  • NPI 1013666403

  NY

  Medicare reassignment NPD
• JH Therapy Services

  • Occupational Therapist
  • Lapeer, MI
  • NPI 1104618180
  NPD

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1477611754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 FERNBANK AVE",
            "city": "DELMAR",
            "state": "NY",
            "postal_code": "120544215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 S MANNING BLVD",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122081707",
            "telephone_number": "518-475-9574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PROSTICK",
        "first_name": "MARY",
        "middle_name": "PATRICIA",
        "credential": "OTRL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "009953-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jackie Kathleen Profera, COTA/L
• Professional Optometry Downtown, PC
• Promenade Albany LLC
• Madeline Proper
• Prophleb
• Jeffrey Prout, MA, MS, MHC-LP
• Brigitte Pryor
• Irene Tobin Przylucki
• Psychiatric NP Consultants of Northeastern Ny PLLC
• Mark Andrew Ptasznik, MHC-LP

• Occupational Therapist in Albany, NY
• Providers in Albany, 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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.