Active NPI
Marie Lynn Klocke, MSOTR/L
- Hand Occupational Therapist
- Amherst, NY
National Provider Identifier
1710217211
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hand Occupational Therapist
- License
- 010572-1
- Practice address
- 3925 Sheridan Dr
Suite 100
Amherst, NY 14226-1738 - Phone
- (716) 250-9999
- Fax
- (716) 250-4177
- NPI assigned
- Jan 5, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hand Occupational Therapist | 225XH1200X | 010572-1 | NY | Primary |
Addresses
Primary practice location
3925 Sheridan Dr
Suite 100
Amherst, NY 14226-1738
Mailing address
3925 Sheridan Dr
Suite 100
Amherst, NY 14226-1738
Phone (716) 250-9999
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
| License | State | Type | Specialty |
|---|---|---|---|
| 010572 | NY | MD | Registered Dietitian |
| 010572-1 | NY | MD | Hand Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1262649600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1262649600000",
"number": "1710217211",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3925 SHERIDAN DR",
"address_2": "SUITE 100",
"city": "AMHERST",
"state": "NY",
"postal_code": "142261738",
"telephone_number": "716-250-9999",
"fax_number": "716-250-4177"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3925 SHERIDAN DR",
"address_2": "SUITE 100",
"city": "AMHERST",
"state": "NY",
"postal_code": "142261738",
"telephone_number": "716-250-9999",
"fax_number": "716-250-4177"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KLOCKE",
"first_name": "MARIE",
"middle_name": "LYNN",
"name_prefix": "Miss",
"credential": "MSOTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-01-05",
"last_updated": "2010-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "225XH1200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Hand",
"state": "NY",
"license": "010572-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Amherst, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 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.