Active NPI
Gayle J Pliscofsky, O.T.
- Occupational Therapist
- Fort Edward, NY
National Provider Identifier
1942386594
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 005818
- Practice address
- 214 State Route 197
Fort Edward, NY 12828 - Phone
- (972) 983-2833
- NPI assigned
- Oct 27, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 Therapist | 225X00000X | 005818 | NY | Primary |
| Occupational Therapist | 225X00000X | 110770 | TX |
Addresses
Primary practice location
214 State Route 197
Fort Edward, NY 12828
Mailing address
PO Box 87
Fort Edward, NY 12828
Phone (518) 955-5666
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8T4671 | Other | TX | BLUE CROSS BLUE SHIELD |
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 |
|---|---|---|---|
| 110770 | TX | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Newmeadow, Inc. | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Early Intervention Provider Agency
- Clifton Park, NY
- NPI 1831342963
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161907200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1531872000000",
"number": "1942386594",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 87",
"city": "FORT EDWARD",
"state": "NY",
"postal_code": "12828",
"telephone_number": "518-955-5666"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "214 STATE ROUTE 197",
"city": "FORT EDWARD",
"state": "NY",
"postal_code": "12828",
"telephone_number": "972-983-2833"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PLISCOFSKY",
"first_name": "GAYLE",
"middle_name": "J",
"name_prefix": "Mrs.",
"credential": "O.T.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-27",
"last_updated": "2018-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NY",
"license": "005818",
"primary": true
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "TX",
"license": "110770",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "8T4671",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fort Edward, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.