Kaley Rebecca Green, COTA/L

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

9508521 Issued in NY

Practice address

40 Henrietta Blvd
Amsterdam, NY 12010

Phone

(518) 843-3003

NPI assigned

Jul 23, 2018

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": "1532304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552867200000",
    "number": "1851878953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 HARVARD RD",
            "city": "WATERVLIET",
            "state": "NY",
            "postal_code": "121891210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 HENRIETTA BLVD",
            "city": "AMSTERDAM",
            "state": "NY",
            "postal_code": "12010",
            "telephone_number": "518-843-3003"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1136 N Westcott Rd",
            "address_purpose": "LOCATION",
            "city": "Schenectady",
            "state": "NY",
            "postal_code": "123062014",
            "country_code": "US",
            "telephone_number": "518-280-0083 x121",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GREEN",
        "first_name": "KALEY",
        "middle_name": "REBECCA",
        "name_prefix": "Ms.",
        "credential": "COTA/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-23",
        "last_updated": "2019-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "NY",
            "license": "9508521",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Valorie Goodemote, PTA
• Robert H Goslin, M.D.
• Govind C.. Rao
• Greater Amsterdam School District
• Greater Amsterdam Volunteer Ambulance Corps, Inc
• Alicia Greene
• Patricia Lynn Gundlach, M.S., A.T.C
• Maya Gurme, DDS
• Julian Seth Gutmaker, OD
• Guy Park Pharmacy LLC

• Occupational Therapy Assistant in Amsterdam, NY
• Providers in Amsterdam, 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 Mar 18, 2019; 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.