Individual provider Active NPI

Lynn M Washock, COTA

  • Occupational Therapy Assistant
  • Loudonville, NY
National Provider Identifier
1619249885
Registry record updated Feb 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
001312 Issued in NY
Practice address
30 Southgate Rd
Loudonville, NY 12211-1132
Phone
(518) 785-6607
NPI assigned
Feb 3, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 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 001312 NY Primary

Addresses

Primary practice location

30 Southgate Rd
Loudonville, NY 12211-1132

Mailing address

25 Woodbine Ave
Watervliet, NY 12189-3819
Phone (518) 273-8151

Other identifiers 1

IdentifierTypeStateIssuer
224Z00000XOtherNYOCCUPATIONAL THERAPY ASSISTANT

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
001312NYMDOccupational Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1328227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328227200000",
    "number": "1619249885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 WOODBINE AVE",
            "city": "WATERVLIET",
            "state": "NY",
            "postal_code": "121893819",
            "telephone_number": "518-273-8151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 SOUTHGATE RD",
            "city": "LOUDONVILLE",
            "state": "NY",
            "postal_code": "122111132",
            "telephone_number": "518-785-6607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WASHOCK",
        "first_name": "LYNN",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "COTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-02-03",
        "last_updated": "2012-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "NY",
            "license": "001312",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OCCUPATIONAL THERAPY ASSISTANT",
            "identifier": "224Z00000X",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Loudonville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 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.