Individual provider Active NPI

Sherry L Motola, OTA

  • Occupational Therapy Assistant
  • Central Valley, NY
National Provider Identifier
1609007681
Registry record updated Aug 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
003699-1 Issued in NY
Practice address
2 Corporate Dr
Central Valley, NY 10917-4006
Phone
(845) 928-9780
Fax
(845) 928-6209
NPI assigned
Aug 7, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 21, 2012

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 003699-1 NY Primary

Addresses

Primary practice location

2 Corporate Dr
Central Valley, NY 10917-4006

Mailing address

PO Box 99
Bullville, NY 10915-0099
Phone (845) 800-4888

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
003699-1NYMDOccupational Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1249603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1345507200000",
    "number": "1609007681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 99",
            "city": "BULLVILLE",
            "state": "NY",
            "postal_code": "109150099",
            "telephone_number": "845-800-4888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 CORPORATE DR",
            "city": "CENTRAL VALLEY",
            "state": "NY",
            "postal_code": "109174006",
            "telephone_number": "845-928-9780",
            "fax_number": "845-928-6209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOTOLA",
        "first_name": "SHERRY",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "OTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-08-07",
        "last_updated": "2012-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "NY",
            "license": "003699-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Central Valley, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2012; 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.