Individual provider Active NPI

Karen Elisabeth Buttling, COTA/L

  • Occupational Therapy Assistant
  • Queensbury, NY
National Provider Identifier
1972937647
Registry record updated Aug 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
001744 Issued in NY
Practice address
29 Bonner Dr
Queensbury, NY 12804-1000
Phone
(518) 744-6586
NPI assigned
Aug 29, 2013
Last updated
Aug 29, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 29, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 001744 NY Primary
Occupational Therapy Assistant 224Z00000X OTA100000235 DC

Addresses

Primary practice location

29 Bonner Dr
Queensbury, NY 12804-1000

Mailing address

29 Bonner Dr
Queensbury, NY 12804-1000
Phone (518) 744-6586

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

LicenseStateTypeSpecialty
001744NYMDBehavioral Analyst
OTA100000235DCMDOccupational Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1377734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377734400000",
    "number": "1972937647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 BONNER DR",
            "city": "QUEENSBURY",
            "state": "NY",
            "postal_code": "128041000",
            "telephone_number": "518-744-6586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 BONNER DR",
            "city": "QUEENSBURY",
            "state": "NY",
            "postal_code": "128041000",
            "telephone_number": "518-744-6586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTTLING",
        "first_name": "KAREN",
        "middle_name": "ELISABETH",
        "credential": "COTA/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-08-29",
        "last_updated": "2013-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "NY",
            "license": "001744",
            "primary": true
        },
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "DC",
            "license": "OTA100000235",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Queensbury, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2013; 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.