Individual provider Active NPI

Olivia R Bollin, COTA/L

  • Occupational Therapy Assistant
  • Castleton on Hudson, NY
National Provider Identifier
1891273868
Registry record updated Jun 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
Practice address
1477 S Schodack Rd
Castleton on Hudson, NY 12033-9644
Phone
(518) 477-7103
NPI assigned
Aug 1, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2022

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 Primary

Addresses

Primary practice location

1477 S Schodack Rd
Castleton on Hudson, NY 12033-9644

Mailing address

612 Hoosick Rd
Troy, NY 12180-6824
Phone (315) 767-6690

Other practice location 1

25 Adams Rd
Williamstown, MA 01267-2928
Phone (413) 372-1294

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

NPI Registry JSON

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

{
    "created_epoch": "1533081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655164800000",
    "number": "1891273868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "612 HOOSICK RD",
            "city": "TROY",
            "state": "NY",
            "postal_code": "121806824",
            "telephone_number": "315-767-6690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1477 S SCHODACK RD",
            "city": "CASTLETON ON HUDSON",
            "state": "NY",
            "postal_code": "120339644",
            "telephone_number": "518-477-7103"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "25 Adams Rd",
            "address_purpose": "LOCATION",
            "city": "Williamstown",
            "state": "MA",
            "postal_code": "012672928",
            "country_code": "US",
            "telephone_number": "413-372-1294",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOLLIN",
        "first_name": "OLIVIA",
        "middle_name": "R",
        "credential": "COTA/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-01",
        "last_updated": "2022-06-14",
        "certification_date": "2022-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Castleton on Hudson, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 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.