Lynn Stumbaugh, COTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

000611 Issued in NY

Practice address

27 Woodvale Rd
Queensbury, NY 12804-1785

Phone

(631) 467-3700

Fax

(631) 467-0928

NPI assigned

Jul 22, 2008

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1216684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216684800000",
    "number": "1629233366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 PEACHTREE CT",
            "address_2": "SUITE 105",
            "city": "HOLBROOK",
            "state": "NY",
            "postal_code": "117414616",
            "telephone_number": "631-467-3700",
            "fax_number": "631-467-0928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 WOODVALE RD",
            "city": "QUEENSBURY",
            "state": "NY",
            "postal_code": "128041785",
            "telephone_number": "631-467-3700",
            "fax_number": "631-467-0928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STUMBAUGH",
        "first_name": "LYNN",
        "credential": "COTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-22",
        "last_updated": "2008-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "NY",
            "license": "000611",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathryn Strassner, DDS
• Jennifer L Stratton, MD
• Rachael Strohl, LMSW
• Isabel Mary Strother
• Andrew Stuart, LMHC
• Toni Marie Sturm, MD
• Janet Susan Stutzman, TSHH
• Lauren Sullivan, PMHNP
• Summit Imaging Corporation
• Support-Link, Inc.

• Occupational Therapy Assistant in Queensbury, NY
• Providers in Queensbury, 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 Jul 22, 2008; 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.