Active NPI
Colleen Martin, OTR
- Occupational Therapist
- Highland, NY
National Provider Identifier
1902364219
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 027017-01
- Practice address
- 187 Bedell Ave
Highland, NY 12528-2205 - Phone
- (845) 764-0463
- NPI assigned
- Mar 5, 2019
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 009149-1 | NY | |
| Occupational Therapist | 225X00000X | 027017-01 | NY | Primary |
Addresses
Primary practice location
187 Bedell Ave
Highland, NY 12528-2205
Mailing address
187 Bedell Ave
Highland, NY 12528-2205
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 |
|---|---|---|---|
| 009149-1 | NY | MD | Occupational Therapy Assistant |
| 027017-01 | NY | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1551744000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663113600000",
"number": "1902364219",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "187 BEDELL AVE",
"city": "HIGHLAND",
"state": "NY",
"postal_code": "125282205"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "187 BEDELL AVE",
"city": "HIGHLAND",
"state": "NY",
"postal_code": "125282205",
"telephone_number": "845-764-0463"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTIN",
"first_name": "COLLEEN",
"credential": "OTR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-03-05",
"last_updated": "2022-09-14",
"certification_date": "2022-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "NY",
"license": "009149-1",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NY",
"license": "027017-01",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Highland, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 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.