Active NPI
Zachary Donahue
- Occupational Therapist
- Syracuse, NY
National Provider Identifier
1639744659
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 024929
- Practice address
- 220 Ashdale Ave
Syracuse, NY 13206-1604 - Phone
- (315) 269-5609
- NPI assigned
- May 21, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 024929 | NY | Primary |
Addresses
Primary practice location
220 Ashdale Ave
Syracuse, NY 13206-1604
Mailing address
220 Ashdale Ave
Syracuse, NY 13206-1604
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2701 Pickett Rd
Durham, NC 27705-5688
Phone (919) 419-9600
3610 Randolph Rd
Charlotte, NC 28211-1318
Phone (980) 875-9611
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Legacy Healthcare Services, Inc. | Single Specialty | Current | Accepting new patients |
| Legacy Healthcare Services Inc | Occupational Therapist | Current | Accepting new patients |
Locations
2701 Pickett Rd
Durham, NC 27705
Phone (919) 419-4012
110 Horizon Dr
Ste 310
Raleigh, NC 27615
Phone (970) 215-3300
Organizations & group practices 2
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": "1621555200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1621555200000",
"number": "1639744659",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "220 ASHDALE AVE",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "132061604"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "220 ASHDALE AVE",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "132061604",
"telephone_number": "315-269-5609"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DONAHUE",
"first_name": "ZACHARY",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-05-21",
"last_updated": "2021-05-21",
"certification_date": "2021-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Occupational Therapist",
"state": "NY",
"license": "024929",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Syracuse, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.