Kimberly Ann Clyne, COTA
Occupational Therapy Assistant in Malta, NY. Individual provider (NPI-1).
NPI number1467845461
StatusActive
Last updated in NPPESMar 15, 2015
Details
- NPI
- 1467845461
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Kimberly Ann Clyne
- Credential
- COTA
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Mar 15, 2015
- Last updated
- Mar 15, 2015
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 224Z00000X | Occupational Therapy Assistant | 004341 | NY | Yes |
Practice location
100 Saratoga Village BlvdSuite35
Malta, NY 12020-3737
Phone 518-899-9235
Mailing address
100 Saratoga Village BlvdSuite35
Malta, NY 12020-3737
Phone 518-899-9235
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Occupational Therapy Assistant providers in Malta, NY
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