Active NPI
Estelle Aguayo
- Occupational Therapy Assistant
- Beacon, NY
National Provider Identifier
1902010853
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 0021321
- Practice address
- 10 Hastings Dr
Beacon, NY 12508-2055 - Phone
- (845) 440-1600
- NPI assigned
- May 10, 2007
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|
| 0021321 | NY | MD | Occupational Therapy Assistant |
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 Therapy Assistant | 224Z00000X | 0021321 | NY | Primary |
Addresses
Primary practice location
10 Hastings Dr
Beacon, NY 12508-2055
Mailing address
110 Jackson St
Fishkill, NY 12524-1144
NPI Registry JSON
{
"created_epoch": "1178755200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1902010853",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 JACKSON ST",
"city": "FISHKILL",
"state": "NY",
"postal_code": "125241144"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 HASTINGS DR",
"city": "BEACON",
"state": "NY",
"postal_code": "125082055",
"telephone_number": "845-440-1600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AGUAYO",
"first_name": "ESTELLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-10",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "NY",
"license": "0021321",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Beacon, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.