Active NPI
Courtney Adamczak, OTR/L
- Occupational Therapist
- Hamburg, NY
National Provider Identifier
1780168625
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 022830
- Practice address
- 4711 Winding Woods LN
Hamburg, NY 14075-5457 - Phone
- (716) 725-7163
- NPI assigned
- Sep 17, 2018
- 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 | 022830 | NY | Primary |
Addresses
Primary practice location
4711 Winding Woods LN
Hamburg, NY 14075-5457
Mailing address
12509 Hunts Corners Rd
Akron, NY 14001-9637
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 |
|---|---|---|---|
| 022830 | NY | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tools to Grow Occupational and Physical Therapy | Past | Accepting new patients | |
| Tools to Grow, Occupational and Physical Therapy, PLLC. | Occupational Therapist | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Early Intervention Provider Agency
- Hamburg, NY
- NPI 1780118067
-
- Occupational Therapist
- Hamburg, NY
- NPI 1801347042
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1537142400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1537142400000",
"number": "1780168625",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12509 HUNTS CORNERS RD",
"city": "AKRON",
"state": "NY",
"postal_code": "140019637"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4711 WINDING WOODS LN",
"city": "HAMBURG",
"state": "NY",
"postal_code": "140755457",
"telephone_number": "716-725-7163"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ADAMCZAK",
"first_name": "COURTNEY",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-09-17",
"last_updated": "2018-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NY",
"license": "022830",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hamburg, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.