Active NPI
Carolyn Joanne Pasternak, OTR/L
- Occupational Therapist
- Norwich, NY
National Provider Identifier
1578844239
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 004152-1
- Practice address
- 6678 County Road 32
Norwich, NY 13815-3554 - Phone
- (607) 335-1200
- NPI assigned
- Sep 7, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 004152-1 | NY | Primary |
Addresses
Primary practice location
6678 County Road 32
Norwich, NY 13815-3554
Mailing address
PO Box 226
33 Main St.
Laurens, NY 13796-0226
Phone (607) 433-1407
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
| License | State | Type | Specialty |
|---|---|---|---|
| 004152-1 | NY | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1315353600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1315353600000",
"number": "1578844239",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 226",
"address_2": "33 MAIN ST.",
"city": "LAURENS",
"state": "NY",
"postal_code": "137960226",
"telephone_number": "607-433-1407"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6678 COUNTY ROAD 32",
"city": "NORWICH",
"state": "NY",
"postal_code": "138153554",
"telephone_number": "607-335-1200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PASTERNAK",
"first_name": "CAROLYN",
"middle_name": "JOANNE",
"name_prefix": "Ms.",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-09-07",
"last_updated": "2011-09-07",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NY",
"license": "004152-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Norwich, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 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.