Individual provider Active NPI

Patricia Anne Timpanaro, M.S., OTR/L

  • Pediatric Occupational Therapist
  • Clifton Park, NY
National Provider Identifier
1528206265
Registry record updated Sep 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
015103-1 Issued in NY
Practice address
41 Werner Rd
Clifton Park, NY 12065-3409
Phone
(518) 664-5066
NPI assigned
Feb 3, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 015103-1 NY
Pediatric Occupational Therapist 225XP0200X 015103-1 NY Primary

Addresses

Primary practice location

41 Werner Rd
Clifton Park, NY 12065-3409

Mailing address

14 Firestone LN
Clifton Park, NY 12065-1222
Phone (518) 729-0085

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
015103-1NYMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Helping Hands School Past Accepting new patients
Helping Hands 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": "1233619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1252454400000",
    "number": "1528206265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 FIRESTONE LN",
            "city": "CLIFTON PARK",
            "state": "NY",
            "postal_code": "120651222",
            "telephone_number": "518-729-0085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 WERNER RD",
            "city": "CLIFTON PARK",
            "state": "NY",
            "postal_code": "120653409",
            "telephone_number": "518-664-5066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIMPANARO",
        "first_name": "PATRICIA",
        "middle_name": "ANNE",
        "name_prefix": "Mrs.",
        "credential": "M.S., OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-02-03",
        "last_updated": "2009-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "015103-1",
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NY",
            "license": "015103-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clifton Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2009; 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.