Colleen B Aldrich

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

005164 Issued in NY

Practice address

75 Jones and Gifford Ave
Jamestown, NY 14701-2828

Phone

(716) 661-1408

Fax

(716) 661-1074

NPI assigned

Oct 6, 2014

Last updated

Oct 6, 2014By the provider in NPPES

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

Other names 1

• Colleen B Sax Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1412553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412553600000",
    "number": "1679976542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 DUNHAM AVE",
            "city": "JAMESTOWN",
            "state": "NY",
            "postal_code": "147012528",
            "telephone_number": "716-661-1408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 JONES AND GIFFORD AVE",
            "city": "JAMESTOWN",
            "state": "NY",
            "postal_code": "147012828",
            "telephone_number": "716-661-1408",
            "fax_number": "716-661-1074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALDRICH",
        "first_name": "COLLEEN",
        "middle_name": "B",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-06",
        "last_updated": "2014-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "005164",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "COLLEEN",
            "last_name": "SAX",
            "middle_name": "B",
            "credential": "OTRL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Adnan Munir Physician PC
• Jared Scott Aiken, PHARMD
• Lindsey Aiken
• Junaid Akhter, DO
• Jaydene Albert
• Shaden Alfallay
• Allegany Ophthalmology PLLC (Chautauqua Eyecare)
• Jeffrey W Allen
• Nancy A Allen, M.D.
• Alliance for Nonprofit Resources, Inc.

• Occupational Therapist in Jamestown, NY
• Providers in Jamestown, NY by specialty
• Occupational Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2014; 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.