Brittany Lynn Thackrah, COTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

Practice address

427 Guy Park Ave
Amsterdam, NY 12010-1064

Phone

(518) 842-3100

NPI assigned

Jun 22, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1655856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655856000000",
    "number": "1619608304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 MCCLELLAN AVE # 1",
            "city": "AMSTERDAM",
            "state": "NY",
            "postal_code": "120103425",
            "telephone_number": "518-866-1025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "427 GUY PARK AVE",
            "city": "AMSTERDAM",
            "state": "NY",
            "postal_code": "120101064",
            "telephone_number": "518-842-3100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THACKRAH",
        "first_name": "BRITTANY",
        "middle_name": "LYNN",
        "credential": "COTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-22",
        "last_updated": "2022-06-22",
        "certification_date": "2022-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "EMR",
            "affiliation": "N",
            "endpointDescription": "EMR",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Amsterdam",
            "address_1": "427 Guy Park Ave",
            "city": "Amsterdam",
            "state": "NY",
            "country_code": "US",
            "postal_code": "120101064",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Brooke M Tennis
• Laurie-Marie Margaret Terry, MS CCC-SLP
• Rachel Taylor Terry, M.A. CCC-SLP
• Jessica C Terwilliger, PSYD
• Julie Tesi, CNM
• The Golub Corporation
• The Sentinel of Amsterdam
• Jessica Thoman
• Cherie Tissiere
• To Life Inc.

• Occupational Therapy Assistant in Amsterdam, NY
• Providers in Amsterdam, NY by specialty
• Occupational Therapy Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2022; 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.