Alexis Gould, OT | |
711 Troy Schenectady Rd Ste 216, Latham, NY 12110-2487 | |
(518) 786-1665 | |
(518) 785-0056 |
Full Name | Alexis Gould |
---|---|
Gender | Female |
Speciality | Occupational Therapist |
Location | 711 Troy Schenectady Rd Ste 216, Latham, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1487342812 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | 026981-01 (New York) | Primary |
Provider Name | Thomas Nicolla Consulting Services Pllc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1487633152 PECOS PAC ID: 7315836848 Enrollment ID: O20040624000511 |
Mailing Address | Practice Location Address |
---|---|
Alexis Gould, OT 711 Troy Schenectady Rd Ste 209, Latham, NY 12110-2481 Ph: (518) 786-1667 | Alexis Gould, OT 711 Troy Schenectady Rd Ste 216, Latham, NY 12110-2487 Ph: (518) 786-1665 |
Mrs. Robin Renae Goss, OTRL Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 711 Troy Schenectady Rd, Thomas Nicolla Consulting Suite 209, Latham, NY 12110 Phone: 518-786-1667 Fax: 518-786-1954 | |
Kelly Dufort, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 7 Century Hill Dr, Latham, NY 12110 Phone: 518-641-1119 | |
Ms. Erika L Lyons, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 91 Fiddlers Ln, Latham, NY 12110 Phone: 518-785-3211 | |
Katharine Campbell, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 711 Troy Schenectady Rd, Suite 216, Latham, NY 12110 Phone: 518-786-1665 Fax: 518-785-0056 | |
Megan Bruno, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 623 New Loudon Rd, Latham, NY 12110 Phone: 518-782-1178 | |
Maria Adams, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 711 Troy Schenectady Rd, Suite 216, Latham, NY 12110 Phone: 518-786-1665 Fax: 518-785-0056 | |
Kara Elizabeth Collins, MS, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 623 New Loudon Rd, Latham, NY 12110 Phone: 518-782-1178 |