Patricia Ann Deery, OTR/L

Primary specialty

Local Education Agency (LEA)Taxonomy code 251300000X

License

013934 Issued in NY

Practice address

24 Idlewild Ave
Cornwall on Hudson, NY 12520-1134

Phone

(845) 534-8009

NPI assigned

Apr 4, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Cornwall Central School District

  • Speech-Language Pathologist
  • Cornwall on Hudson, NY
  • NPI 1275879272
  NPD (past)

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

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326931200000",
    "number": "1740302363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "279 SKYLINE DR",
            "city": "HIGHLAND MILLS",
            "state": "NY",
            "postal_code": "109302947",
            "telephone_number": "845-928-3264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 IDLEWILD AVE",
            "city": "CORNWALL ON HUDSON",
            "state": "NY",
            "postal_code": "125201134",
            "telephone_number": "845-534-8009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEERY",
        "first_name": "PATRICIA",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-04",
        "last_updated": "2012-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "NY",
            "license": "013934",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "013934",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Awakenly LLC
• Teresa Caoili
• Sean Clode
• Cornwall Central School District
• Roxanne Culver
• Karen E Englund, OTR
• Guljahon Fayzullaeva
• Kathryn Fendt
• Lisa Finkelstein
• Cindy Fusillo, LPN

• Local Education Agency (LEA) in Cornwall on Hudson, NY
• Providers in Cornwall on Hudson, NY by specialty
• Local Education Agency (LEA) in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2012; 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.