Individual provider Active NPI

Joann Valarie Verderosa, COTA

  • Occupational Therapy Assistant
  • Albany, NY
National Provider Identifier
1487923504
Registry record updated Dec 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
005085-1 Issued in NY
Practice address
30 N Main Ave
Albany, NY 12203-1410
Phone
(518) 453-6710
NPI assigned
Dec 19, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 005085-1 NY Primary

Addresses

Primary practice location

30 N Main Ave
Albany, NY 12203-1410

Mailing address

30 N Main Ave
Albany, NY 12203-1410
Phone (518) 453-6710

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
005085-1NYMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
St. Catherine'S Center for Children Past Accepting new patients
St. Catherine'S Center for Children Past Accepting new patients

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": "1324252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1324252800000",
    "number": "1487923504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 N MAIN AVE",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122031410",
            "telephone_number": "518-453-6710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 N MAIN AVE",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122031410",
            "telephone_number": "518-453-6710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERDEROSA",
        "first_name": "JOANN",
        "middle_name": "VALARIE",
        "credential": "COTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-19",
        "last_updated": "2011-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "NY",
            "license": "005085-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2011; 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.