Ellen Rusyniak

Primary specialty

Neurorehabilitation Occupational TherapistTaxonomy code 225XN1300X

License

006378-1 Issued in NY

Practice address

2130 Webber Rd
New Woodstock, NY 13122-9729

Phone

(315) 662-3000

NPI assigned

Aug 4, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

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": "1407110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407110400000",
    "number": "1487063582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7349 FAIR HAVEN RD",
            "city": "HOMER",
            "state": "NY",
            "postal_code": "130778710",
            "telephone_number": "315-399-9399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2130 WEBBER RD",
            "city": "NEW WOODSTOCK",
            "state": "NY",
            "postal_code": "131229729",
            "telephone_number": "315-662-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSYNIAK",
        "first_name": "ELLEN",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-08-04",
        "last_updated": "2014-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "006378-1",
            "primary": false
        },
        {
            "code": "225XN1300X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Neurorehabilitation",
            "state": "NY",
            "license": "006378-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Ann Liddell, LMHC
• Merlin Naomi Marrain, HEALTH EDUCATOR, CLC
• Nichele Lynne Marshall, M.S.,TSHH
• Desiree L Palmer, R.N.
• Pucci LCSW, PLLC

• Neurorehabilitation Occupational Therapist in New Woodstock, NY
• Providers in New Woodstock, NY by specialty
• Neurorehabilitation Occupational Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2014; 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.