Individual provider Active NPI

Kalya Beryl Cotkin, OTR

  • Occupational Therapist
  • Albuquerque, NM
National Provider Identifier
1639202567
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
2098 Issued in NM
Practice address
127 Bryn Mawr Dr SE
Albuquerque, NM 87106-2265
Phone
(505) 573-4472
Fax
(505) 212-0521
NPI assigned
Mar 13, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 2098 NM Primary

Addresses

Primary practice location

127 Bryn Mawr Dr SE
Albuquerque, NM 87106-2265

Mailing address

2012 White Cloud St NE
Albuquerque, NM 87112-3717
Phone (505) 573-4472

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)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Therapy Now Inc Occupational Therapist Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1639202567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2012 WHITE CLOUD ST NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871123717",
            "telephone_number": "505-573-4472",
            "fax_number": "505-212-0521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 BRYN MAWR DR SE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871062265",
            "telephone_number": "505-573-4472",
            "fax_number": "505-212-0521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COTKIN",
        "first_name": "KALYA",
        "middle_name": "BERYL",
        "name_prefix": "Ms.",
        "credential": "OTR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NM",
            "license": "2098",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.