Active NPI
Judith Ann Poptanich, O.T.R.
- Occupational Therapist
- Wallkill, NY
National Provider Identifier
1730456161
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 003224-1
- Practice address
- 48 Mill St
Wallkill, NY 12589-2803 - Phone
- (845) 895-7200
- Fax
- (845) 564-8098
- NPI assigned
- Nov 30, 2011
- 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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 003224-1 | NY | Primary |
Addresses
Primary practice location
48 Mill St
Wallkill, NY 12589-2803
Mailing address
341 Highland Ave Ext
Middletown, NY 10940-4437
Phone (845) 895-7200
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 003224-1 | NY | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1322611200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1322611200000",
"number": "1730456161",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "341 HIGHLAND AVE EXT",
"city": "MIDDLETOWN",
"state": "NY",
"postal_code": "109404437",
"telephone_number": "845-895-7200",
"fax_number": "845-895-8079"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "48 MILL ST",
"city": "WALLKILL",
"state": "NY",
"postal_code": "125892803",
"telephone_number": "845-895-7200",
"fax_number": "845-564-8098"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POPTANICH",
"first_name": "JUDITH",
"middle_name": "ANN",
"name_prefix": "Ms.",
"credential": "O.T.R.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-11-30",
"last_updated": "2011-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NY",
"license": "003224-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wallkill, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.