Active NPI
Cherie Tissiere
- Occupational Therapist
- Amsterdam, NY
National Provider Identifier
1851838528
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 021229
- Practice address
- 40 Henrietta Blvd
Amsterdam, NY 12010-1111 - Phone
- (518) 843-3003
- NPI assigned
- Jan 19, 2017
- 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 | 021229 | NY | Primary |
Addresses
Primary practice location
40 Henrietta Blvd
Amsterdam, NY 12010-1111
Mailing address
2841 Thousand Acres Rd
Delanson, NY 12053-1917
Phone (518) 875-6724
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 |
|---|---|---|---|
| 021229 | NY | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1484784000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1596758400000",
"number": "1851838528",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2841 THOUSAND ACRES RD",
"city": "DELANSON",
"state": "NY",
"postal_code": "120531917",
"telephone_number": "518-875-6724"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "40 HENRIETTA BLVD",
"city": "AMSTERDAM",
"state": "NY",
"postal_code": "120101111",
"telephone_number": "518-843-3003"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TISSIERE",
"first_name": "CHERIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-01-19",
"last_updated": "2020-08-07",
"certification_date": "2020-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NY",
"license": "021229",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Amsterdam, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.