Individual provider Active NPI

Emily Miller, C.O.T.A.

  • Occupational Therapy Assistant
  • Campbell Hall, NY
National Provider Identifier
1780087452
Registry record updated Oct 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
003433 Issued in NY
Practice address
22 Sarah Wells Trail, BLDG. 2, Suite 1
Campbell Hall, NY 10916
Phone
(845) 497-4000
Fax
(845) 497-4008
NPI assigned
Oct 8, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 003433 NY Primary

Addresses

Primary practice location

22 Sarah Wells Trail, BLDG. 2, Suite 1
Campbell Hall, NY 10916

Mailing address

22 Sarah Wells Trail, BLDG. 2, Suite 1
Campbell Hall, NY 10916
Phone (845) 497-4000

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

LicenseStateTypeSpecialty
003433NYMDOccupational Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1412726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412726400000",
    "number": "1780087452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 SARAH WELLS TRAIL, BLDG. 2, SUITE 1",
            "city": "CAMPBELL HALL",
            "state": "NY",
            "postal_code": "10916",
            "telephone_number": "845-497-4000",
            "fax_number": "845-497-4008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 SARAH WELLS TRAIL, BLDG. 2, SUITE 1",
            "city": "CAMPBELL HALL",
            "state": "NY",
            "postal_code": "10916",
            "telephone_number": "845-497-4000",
            "fax_number": "845-497-4008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "EMILY",
        "name_prefix": "Mrs.",
        "credential": "C.O.T.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-08",
        "last_updated": "2014-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "NY",
            "license": "003433",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Campbell Hall, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2014; 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.