Active NPI
Janis Lynn Pforsich, OTR
- Occupational Therapist
- Catskill, NY
National Provider Identifier
1780899740
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 013246-1
- Practice address
- 154 Jefferson HTS
Eden Park Restorative Therapy Center
Catskill, NY 12414-1215 - Phone
- (518) 943-5151
- Fax
- (518) 943-9107
- NPI assigned
- May 13, 2007
- 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 | 013246-1 | NY | Primary |
Addresses
Primary practice location
154 Jefferson HTS
Eden Park Restorative Therapy Center
Catskill, NY 12414-1215
Mailing address
18 S Washington St
Athens, NY 12015-1422
Phone (518) 945-1830
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 |
|---|---|---|---|
| 013246-1 | NY | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179014400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1191024000000",
"number": "1780899740",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18 S WASHINGTON ST",
"city": "ATHENS",
"state": "NY",
"postal_code": "120151422",
"telephone_number": "518-945-1830"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "154 JEFFERSON HTS",
"address_2": "EDEN PARK RESTORATIVE THERAPY CENTER",
"city": "CATSKILL",
"state": "NY",
"postal_code": "124141215",
"telephone_number": "518-943-5151",
"fax_number": "518-943-9107"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PFORSICH",
"first_name": "JANIS",
"middle_name": "LYNN",
"name_prefix": "Ms.",
"credential": "OTR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-13",
"last_updated": "2007-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NY",
"license": "013246-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Catskill, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.