Colleen Correa, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

015183-1 Issued in NY

Practice address

120 Kisco Ave
Mount Kisco, NY 10549-1415

Phone

(914) 242-8720

NPI assigned

Mar 4, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

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 and National Provider Directory roles.

• Ability Beyond Disability

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Chappaqua, NY
  • NPI 1629148259
  Medicare reassignment NPD
• New York Physical and Occupational Therapy Services, PLLC

  • Physical Therapist
  • Brooklyn, NY
  • NPI 1356703631

  Occupational Therapist

  Medicare reassignment NPD

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

{
    "created_epoch": "1204588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688947200000",
    "number": "1588834741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 KISCO AVE",
            "city": "MOUNT KISCO",
            "state": "NY",
            "postal_code": "105491415",
            "telephone_number": "914-242-8720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 KISCO AVE",
            "city": "MOUNT KISCO",
            "state": "NY",
            "postal_code": "105491415",
            "telephone_number": "914-242-8720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORREA",
        "first_name": "COLLEEN",
        "name_prefix": "Miss",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-04",
        "last_updated": "2023-07-10",
        "certification_date": "2023-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NY",
            "license": "P62684",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "015183-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Camara Consingh
• Michelle Conway, CASAC-T
• William J Cook, LCSW R
• Victoria Coon, FAP
• Barbara Faith Cooper, LMHC
• Francis A Corso, RPH
• Mirna Coto-Chang, LCSW
• Douglas E Cowan, MD
• Stephen Scott Cowan, M.D.
• Craig M. Fern, M.D., P.C.

• Occupational Therapist in Mount Kisco, NY
• Providers in Mount Kisco, 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 Jul 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.