Nathalie Jae Colmenares Liebowitz, COTA/L

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

009334 Issued in NY

Practice address

4277 65TH PL
Woodside, NY 11377-5054

Phone

(718) 429-2000

NPI assigned

Dec 8, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Nathalie Jae Colmenares Larracas Former name

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": "1481155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1498262400000",
    "number": "1649714783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5314 94TH ST",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113734632",
            "telephone_number": "347-209-7567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4277 65TH PL",
            "city": "WOODSIDE",
            "state": "NY",
            "postal_code": "113775054",
            "telephone_number": "718-429-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIEBOWITZ",
        "first_name": "NATHALIE JAE",
        "middle_name": "COLMENARES",
        "credential": "COTA/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-12-08",
        "last_updated": "2017-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "NY",
            "license": "009334",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NATHALIE JAE",
            "last_name": "LARRACAS",
            "middle_name": "COLMENARES",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Occupational Therapy Assistant in Woodside, NY
• Providers in Woodside, 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 24, 2017; 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.