Individual provider Active NPI

Erin McClain, COTA/L

  • Occupational Therapy Assistant
  • Poughkeepsie, NY
National Provider Identifier
1548924111
Registry record updated Oct 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
008883-1 Issued in NY
Practice address
101 Mansion St
Poughkeepsie, NY 12601-2412
Phone
(845) 451-4690
NPI assigned
Oct 28, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 28, 2021

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 008883-1 NY Primary

Addresses

Primary practice location

101 Mansion St
Poughkeepsie, NY 12601-2412

Mailing address

139 S Grand Ave FL 2
Poughkeepsie, NY 12603-3021
Phone (845) 645-3933

Other practice location 1

265 Hooker Ave
Poughkeepsie, NY 12603-3039
Phone (845) 451-4660

Other practice location 2

283 Mansion St
Poughkeepsie, NY 12601-2713
Phone (845) 451-4750

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
008883-1NYMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1635379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635379200000",
    "number": "1548924111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "139 S GRAND AVE FL 2",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126033021",
            "telephone_number": "845-645-3933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 MANSION ST",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126012412",
            "telephone_number": "845-451-4690"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "265 Hooker Ave",
            "address_purpose": "LOCATION",
            "city": "Poughkeepsie",
            "state": "NY",
            "postal_code": "126033039",
            "country_code": "US",
            "telephone_number": "845-451-4660",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "283 Mansion St",
            "address_purpose": "LOCATION",
            "city": "Poughkeepsie",
            "state": "NY",
            "postal_code": "126012713",
            "country_code": "US",
            "telephone_number": "845-451-4750",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCLAIN",
        "first_name": "ERIN",
        "credential": "COTA/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-28",
        "last_updated": "2021-10-28",
        "certification_date": "2021-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "NY",
            "license": "008883-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Poughkeepsie, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2021; 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.