Ute S Patrick, OTR/L

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

072.0102450 Issued in VT

Practice address

56 Elm St
Manchester Center, VT 05255-8408

Phone

(973) 405-4411

NPI assigned

Jun 6, 2008

Last updated

Jan 22, 2017By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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

• Nysarc Inc Westchester County Chapter

  • Community/Behavioral Health Agency
  • Hawthorne, NY
  • NPI 1780898643
  NPD (past)

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

{
    "created_epoch": "1212710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485043200000",
    "number": "1477712289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "56 ELM ST",
            "address_2": "UNIT #8",
            "city": "MANCHESTER CENTER",
            "state": "VT",
            "postal_code": "052558408",
            "telephone_number": "973-405-4411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "56 ELM ST",
            "city": "MANCHESTER CENTER",
            "state": "VT",
            "postal_code": "052558408",
            "telephone_number": "973-405-4411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATRICK",
        "first_name": "UTE",
        "middle_name": "S",
        "name_prefix": "Mrs.",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-06",
        "last_updated": "2017-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "VT",
            "license": "072.0102450",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NJ",
            "license": "46TR00417400",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "014649-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edward Novick, RPH
• John Ottesen, DDS
• Paige Chriopractic and Acupuncture PLLC
• Clarke Douglas Paige, D.C., L.AC.
• Patricia M Patane, ATC, PT
• Peak Motion Physical Therapy
• Michael David Polifka, M.D.
• Prospect Rehabilitation, PC
• Elizabeth Quincy, LCMHC
• Catherine Redlein, LICSW

• Pediatric Occupational Therapist in Manchester Center, VT
• Providers in Manchester Center, VT by specialty
• Pediatric Occupational Therapist in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2017; 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.