Individual provider Active NPI

Sylvia Bellack, OT

  • Occupational Therapist
  • Albany, NY
National Provider Identifier
1780925594
Registry record updated Jun 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
017905 Issued in NY
Practice address
251 Washington Avenue Ext
Albany, NY 12205
Phone
(518) 456-4466
Fax
(518) 456-4536
NPI assigned
Mar 5, 2013
Last updated
Jun 12, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 017905 NY Primary
Pediatric Occupational Therapist 225XP0200X 017905 NY

Addresses

Primary practice location

251 Washington Avenue Ext
Albany, NY 12205

Mailing address

127 Bloomingrove Dr
Troy, NY 12180-8404
Phone (518) 283-4921

Other practice location 1

648 Plank Rd Ste 101
Clifton Park, NY 12065-2062
Phone (518) 268-4800

Other practice location 2

147 Hoosick St Ste 202
Troy, NY 12180-2393
Phone (518) 268-5749

Other practice location 3

2 Empire Dr Ste 202
Rensselaer, NY 12144-5730
Phone (518) 286-4990

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)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Early Childhood Education Center Past Accepting new patients
Samaritan Hospital of Troy, New York 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1362441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528761600000",
    "number": "1780925594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 BLOOMINGROVE DR",
            "city": "TROY",
            "state": "NY",
            "postal_code": "121808404",
            "telephone_number": "518-283-4921",
            "fax_number": "518-687-0375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "251 WASHINGTON AVENUE EXT",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "12205",
            "telephone_number": "518-456-4466",
            "fax_number": "518-456-4536"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "648 Plank Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Clifton Park",
            "state": "NY",
            "postal_code": "120652062",
            "country_code": "US",
            "telephone_number": "518-268-4800",
            "fax_number": "518-268-4888",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "147 Hoosick St Ste 202",
            "address_purpose": "LOCATION",
            "city": "Troy",
            "state": "NY",
            "postal_code": "121802393",
            "country_code": "US",
            "telephone_number": "518-268-5749",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2 Empire Dr Ste 202",
            "address_purpose": "LOCATION",
            "city": "Rensselaer",
            "state": "NY",
            "postal_code": "121445730",
            "country_code": "US",
            "telephone_number": "518-286-4990",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BELLACK",
        "first_name": "SYLVIA",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-05",
        "last_updated": "2018-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "017905",
            "primary": true
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NY",
            "license": "017905",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 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.

Verify at the official NPI Registry.