Individual provider Active NPI

Joan P Bunyan, OTR

  • Occupational Therapist
  • Montgomery, NY
National Provider Identifier
1679918767
Registry record updated May 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
010679 Issued in NY
Practice address
20 Walnut St
Suite B
Montgomery, NY 12549-2260
Phone
(845) 457-5555
Fax
(845) 457-5556
NPI assigned
May 3, 2013
Last updated
May 3, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 3, 2013

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 010679 NY Primary

Addresses

Primary practice location

20 Walnut St
Suite B
Montgomery, NY 12549-2260

Mailing address

PO Box 239
Goshen, NY 10924-0239
Phone (845) 615-1585

Other names 1

  • Joan P Carey Former name

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

State licenses

LicenseStateTypeSpecialty
010679NYMDPhysician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1367539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367539200000",
    "number": "1679918767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 239",
            "city": "GOSHEN",
            "state": "NY",
            "postal_code": "109240239",
            "telephone_number": "845-615-1585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 WALNUT ST",
            "address_2": "SUITE B",
            "city": "MONTGOMERY",
            "state": "NY",
            "postal_code": "125492260",
            "telephone_number": "845-457-5555",
            "fax_number": "845-457-5556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUNYAN",
        "first_name": "JOAN",
        "middle_name": "P",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-03",
        "last_updated": "2013-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "010679",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOAN",
            "last_name": "CAREY",
            "middle_name": "P",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Montgomery, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2013; 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.