Organization Active NPI

Hudson Home OT PLLC

  • Occupational Therapist
  • Otisville, NY
National Provider Identifier
1689332306
Registry record updated Nov 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Legal business name
HUDSON HOME OT PLLC
Practice address
1722 St Hwy 211
Otisville, NY 10963-2711
Phone
(914) 260-1953
NPI assigned
Nov 30, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2021

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

Authorized official

Name
Tara Murphy, MS OTNPI 1245617547
Title
Otr/L
Phone
(914) 260-1953

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225X00000X Primary

Addresses

Primary practice location

1722 St Hwy 211
Otisville, NY 10963-2711

Mailing address

1722 St Hwy 211
Otisville, NY 10963-2711
Phone (914) 260-1953

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220225001339 NY Part B Supplier - Physical/Occupational Therapy Group in Private Practice 5597159053 Receives reassigned benefits from 1 practitioner
Practice locations: Otisville, NY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1638230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638230400000",
    "number": "1689332306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1722 ST HWY 211",
            "city": "OTISVILLE",
            "state": "NY",
            "postal_code": "109632711",
            "telephone_number": "914-260-1953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1722 ST HWY 211",
            "city": "OTISVILLE",
            "state": "NY",
            "postal_code": "109632711",
            "telephone_number": "914-260-1953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUDSON HOME OT PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-30",
        "last_updated": "2021-11-30",
        "certification_date": "2021-11-30",
        "status": "A",
        "authorized_official_last_name": "MURPHY",
        "authorized_official_first_name": "TARA",
        "authorized_official_title_or_position": "OTR/L",
        "authorized_official_telephone_number": "914-260-1953",
        "authorized_official_credential": "MS OT"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Otisville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.