Marissa Coyne, COTA/L

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

011262-01 Issued in NY

Practice address

726 E Main St Ste 102
Middletown, NY 10940-2654

Phone

(845) 551-2605

NPI assigned

Dec 15, 2022

Last updated

Dec 15, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1671062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671062400000",
    "number": "1811609381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "476 AWOSTING RD",
            "city": "PINE BUSH",
            "state": "NY",
            "postal_code": "125665566",
            "telephone_number": "845-551-2605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "726 E MAIN ST STE 102",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "109402654",
            "telephone_number": "845-551-2605"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "476 Awosting Rd",
            "address_purpose": "LOCATION",
            "city": "Pine Bush",
            "state": "NY",
            "postal_code": "125665566",
            "country_code": "US",
            "telephone_number": "845-551-2605",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COYNE",
        "first_name": "MARISSA",
        "credential": "COTA/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-15",
        "last_updated": "2022-12-15",
        "certification_date": "2022-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "NY",
            "license": "011262-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Frederick B Cowen, M.D.
• Ashley Ann Cox, LMSW
• Gregory Wayne Cox, DO, MS
• Jennifer E Coyle, LCSW, MSSPED
• Melissa Erin Coyle, COTA/L
• Carly Craft
• Kelly Crea
• Corina Cristescu, M.D.
• Jessica Critelli
• Criterion Medical PLLC

• Occupational Therapy Assistant in Middletown, NY
• Providers in Middletown, NY by specialty
• Occupational Therapy Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2022; 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.