Active NPI
Bonnie Koshofer, OTR/L
- Occupational Therapist
- Latham, NY
National Provider Identifier
1992953129
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 008316-1
- Practice address
- 623 Loudon Rd
Latham, NY 12110-4031 - Phone
- (518) 782-1178
- Fax
- (518) 782-3433
- NPI assigned
- Aug 29, 2008
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 008316-1 | NY | Primary |
Addresses
Primary practice location
623 Loudon Rd
Latham, NY 12110-4031
Mailing address
150 1/2 Front St
Schenectady, NY 12305-1305
Phone (518) 377-6230
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 |
|---|---|---|---|
| 008316-1 | NY | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1219968000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1219968000000",
"number": "1992953129",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "150 1/2 FRONT ST",
"city": "SCHENECTADY",
"state": "NY",
"postal_code": "123051305",
"telephone_number": "518-377-6230"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "623 LOUDON RD",
"city": "LATHAM",
"state": "NY",
"postal_code": "121104031",
"telephone_number": "518-782-1178",
"fax_number": "518-782-3433"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOSHOFER",
"first_name": "BONNIE",
"name_prefix": "Miss",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-08-29",
"last_updated": "2008-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NY",
"license": "008316-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Latham, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.