Annette Yolanda Padmore, OT

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

011835 Issued in NY

Practice address

962 Manor Rd
Staten Island, NY 10314-7011

Phone

(718) 982-5944

NPI assigned

Jul 9, 2010

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

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": "1278633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278633600000",
    "number": "1689986499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 PEACH TREE CT",
            "city": "MARLBORO",
            "state": "NJ",
            "postal_code": "077461137",
            "telephone_number": "917-548-9069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "962 MANOR RD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103147011",
            "telephone_number": "718-982-5944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PADMORE",
        "first_name": "ANNETTE",
        "middle_name": "YOLANDA",
        "name_prefix": "Mrs.",
        "credential": "OT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-07-09",
        "last_updated": "2010-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NY",
            "license": "011835",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Inderbir Singh Padda, M.D.
• Coleen Paderon
• Jose Arnoldo Buendia Paderon, O.T.
• Carolina Christine Padilla
• Jocelyn Padilla, NP
• Alexis Padovano, CASAC
• Kenneth Padron, LCSW
• Annette Pagan, R.PH.
• Laura Anne Pagan, L.C.S.W.
• Amanda Pagano

• Pediatric Occupational Therapist in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Pediatric Occupational Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2010; 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.