Individual provider Active NPI

Lisa Battenhausen, COTA

  • Occupational Therapy Assistant
  • Clifton Park, NY
National Provider Identifier
1871994509
Registry record updated Sep 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
008539-1 Issued in NY
Practice address
7 Southside Dr
Clifton Park, NY 12065-3887
Phone
(518) 280-4294
Fax
(518) 280-4297
NPI assigned
Sep 12, 2014
Last updated
Sep 12, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 008539-1 NY Primary

Addresses

Primary practice location

7 Southside Dr
Clifton Park, NY 12065-3887

Mailing address

7 Southside Dr
Clifton Park, NY 12065-3887
Phone (518) 280-4294

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

LicenseStateTypeSpecialty
008539-1NYMDOccupational Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1410480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410480000000",
    "number": "1871994509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 SOUTHSIDE DR",
            "city": "CLIFTON PARK",
            "state": "NY",
            "postal_code": "120653887",
            "telephone_number": "518-280-4294",
            "fax_number": "518-280-4297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 SOUTHSIDE DR",
            "city": "CLIFTON PARK",
            "state": "NY",
            "postal_code": "120653887",
            "telephone_number": "518-280-4294",
            "fax_number": "518-280-4297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BATTENHAUSEN",
        "first_name": "LISA",
        "credential": "COTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-12",
        "last_updated": "2014-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "NY",
            "license": "008539-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clifton Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2014; 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.