Stacy Lin Durrin Riche, OTR

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

007881 Issued in NY

Practice address

41 E Broadway
Salem, NY 12865-3100

Phone

(518) 854-9505

NPI assigned

Mar 21, 2012

Last updated

Mar 21, 2012By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Stacy Lin Durrin Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1332288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332288000000",
    "number": "1972878056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "244 BEATTIE HOLLOW RD",
            "city": "SALEM",
            "state": "NY",
            "postal_code": "128652504",
            "telephone_number": "518-854-9122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 E BROADWAY",
            "city": "SALEM",
            "state": "NY",
            "postal_code": "128653100",
            "telephone_number": "518-854-9505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DURRIN RICHE",
        "first_name": "STACY",
        "middle_name": "LIN",
        "name_prefix": "Mrs.",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-21",
        "last_updated": "2012-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "007881",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STACY",
            "last_name": "DURRIN",
            "middle_name": "LIN",
            "prefix": "MRS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Occupational Therapist in Salem, NY
• Providers in Salem, NY by specialty
• Occupational Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2012; 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.