Kade Collins, OT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

028251 Issued in NY

Practice address

10 St Patrick PL
Port Henry, NY 12974-1200

Phone

(518) 546-7151

Fax

(518) 546-3785

NPI assigned

Aug 16, 2023

Last updated

Aug 16, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialty

Occupational Therapist in Private Practice

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Essex County Chapter Nysarc IncGroup PAC ID 9133419948, 10 clinicians

Practice addresses (Care Compare)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Essex County Chapter, Nysarc, Inc.

  dba Mountain Lake Services

  • Early Intervention Provider Agency
  • Port Henry, NY
  • NPI 1427134451
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1692144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692144000000",
    "number": "1528841269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 ST PATRICK PL",
            "city": "PORT HENRY",
            "state": "NY",
            "postal_code": "129741200",
            "telephone_number": "518-546-7151",
            "fax_number": "518-546-3785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 ST PATRICK PL",
            "city": "PORT HENRY",
            "state": "NY",
            "postal_code": "129741200",
            "telephone_number": "518-546-7151",
            "fax_number": "518-546-3785"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "279 New York Rd",
            "address_purpose": "LOCATION",
            "city": "Plattsburgh",
            "state": "NY",
            "postal_code": "129034425",
            "country_code": "US",
            "telephone_number": "518-324-8651",
            "fax_number": "518-562-1238",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9 Industrial Blvd",
            "address_purpose": "LOCATION",
            "city": "Plattsburgh",
            "state": "NY",
            "postal_code": "129011910",
            "country_code": "US",
            "telephone_number": "518-563-0037",
            "fax_number": "518-563-4397",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COLLINS",
        "first_name": "KADE",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-08-16",
        "last_updated": "2023-08-16",
        "certification_date": "2023-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "028251",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adirondack Apothecary LLC (Moriah Pharmacy)
• Adirondack Apothecary LLC (Moriah Pharmacy)
• Renee Elizabeth Anderson
• Ruth Cameron, PT
• Rebecca Jane Crowley
• Elizabeth Eldredge, OT
• Essex County Chapter Nysarc, Inc (Mountain Lake Services)
• Essex County Chapter, Nysarc, Inc. (Mountain Lake Services)
• Jan Marie Guffey, D.C.

• Occupational Therapist in Port Henry, NY
• Providers in Port Henry, 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 Aug 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.