SUSAN ANGELA COLLETTI


Address: 113 Holland Ave, Albany, NY 12208-3410
Phone: 5186266025

SUSAN ANGELA COLLETTI (NPI# 1467090720) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1467090720
Entity Type Individual
Full Name SUSAN ANGELA COLLETTI
Credential CTRS
Practice Address 113 Holland Ave
Albany
NY 12208-3410
Practice Telephone 5186266025
Enumeration Date 2019-12-18
Last Update Date 2019-12-18
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 225800000X Recreation Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
NATIONAL COUNCIL FOR THERAPEUTIC RECREATION CERTIFICATION 48106 01

Office Location

Street Address 113 HOLLAND AVE
City ALBANY
State NY
Zip Code 12208-3410

Providers in the same location

NPI Name Taxonomy Address Enumeration
1063418895 Walter Clinton Rockenstire IIi Nurse Practitioner 113 Holland Ave, Albany, NY 12208-3410 2005-06-27
1922622976 Alice Jou Student in an Organized Health Care Education/Training Program 113 Holland Ave, Albany, NY 12208-3410 2020-06-05
1356964217 Katherine Jane Orioli Student in an Organized Health Care Education/Training Program 113 Holland Ave, Albany, NY 12208-3410 2020-05-26
1871133686 Michael John Hayes Registered Nurse 113 Holland Ave, Albany, NY 12208-3410 2020-01-09
1619516481 Kathleen Liberta Fitzgerald Recreational Therapist Assistant 113 Holland Ave, Albany, NY 12208-3410 2019-12-27
1346888328 Christina Mary Rulison Music Therapist 113 Holland Ave, Albany, NY 12208-3410 2019-12-20
1225676216 Michele Ferrauilo Recreation Therapist 113 Holland Ave, Albany, NY 12208 2019-12-20
1659919918 Mary Nell Schmitz Recreation Therapist 113 Holland Ave, Albany, NY 12208-3410 2019-12-18
1295376192 Joy Aaron Social Worker 113 Holland Ave, Albany, NY 12208-3410 2019-10-01
1184286916 Nicholas Magro Student in an Organized Health Care Education/Training Program 113 Holland Ave, Albany, NY 12208-3410 2019-07-02
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1255959045 Fatima Mahmood Student in an Organized Health Care Education/Training Program 47 New Scotland Ave, Department of Internal Medicine, Albany, NY 12208 2020-07-08
1861021784 Jessica Anne Charles-larose Student in an Organized Health Care Education/Training Program 47 New Scotland Avenue, Dept. of Family Medicine, Albany, NY 12208 2020-04-02
1235767211 Michael Charles Harrington Student in an Organized Health Care Education/Training Program 47 New Scotland Avenue, Dept. of Orthopedic Surgery, Albany, NY 12208 2020-03-27
1518594126 Arkar Htoo Student in an Organized Health Care Education/Training Program 47 New Scotland Avenue, Dept of Pathology, Albany, NY 12208 2020-03-24
1366079030 Omar Merdan Student in an Organized Health Care Education/Training Program 47 New Scotland Ave, Dept of Medicine/pediatrics, Albany, NY 12208 2020-03-24
1306473079 Sergo Gabunia Student in an Organized Health Care Education/Training Program 47 New Scotland Avenue, Dept of General Surgery, Albany, NY 12208 2020-03-24
1205469392 Cornell Andre Morris Social Worker Albany Stratton Va Medical Center, 113 Holland Avenue, Albany, NY 12208 2020-02-17
1558909234 St. Peter's Health Partners Medical Associates, P.C. Surgery 319 South Manning Blvd Suite 310, Capital Region Colon & Rectal Surgery, Albany, NY 12208 2019-12-13
1912543265 Meghan Rose Baxter Social Worker 58 Academy Rd., Albany, NY 12208 2019-11-21
1245883461 Gwendolyn Medak Registered Nurse 15 New Scotland Ave, Albany, NY 12208 2019-07-17
Find all providers in zip 12208

Taxonomy Information

Taxonomy Code 225800000X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Recreation Therapist

Taxonomy Definition

A recreation therapist uses recreational activities for intervention in some physical, social or emotional behavior to bring about a desired change in that behavior and promote the growth and development of the patient.
Notes: Source: Joel A. DeLisa and Bruce M. Gans, Rehabilitation Medicine: Principles and Practice Second Edition, J.B. Lippincott Company, Philadelphia: 1993, p. 7

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1568583185 James Gorman, Jr. Recreation Therapist 64 2nd Ave, Albany, NY 12202-1240 2007-04-02
1225676216 Michele Ferrauilo Recreation Therapist 113 Holland Ave, Albany, NY 12208 2019-12-20
1659919918 Mary Nell Schmitz Recreation Therapist 113 Holland Ave, Albany, NY 12208-3410 2019-12-18
1528569449 John G. O'connor Recreation Therapist 75 New Scotland Ave, Albany, NY 12208-3409 2018-02-26
1457850067 Brian Skeene Jackson Recreation Therapist 75 New Scotland Ave, Albany, NY 12208-3409 2018-02-09
1144728874 Carl Frey Recreation Therapist 75 New Scotland Ave, Albany, NY 12208-3409 2018-01-29
1447758420 Mark Rothaupt Recreation Therapist 75 New Scotland Ave, Albany, NY 12208-3409 2018-01-25
1538667514 David Abbenda Recreation Therapist 75 New Scotland Ave, Albany, NY 12208-3409 2018-01-25

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1427540822 Simone M Wong Recreation Therapist 596 Argyle Rd Apt 5, Brooklyn, NY 11230-1647 2018-05-31
1396257705 Michael Krauer Recreation Therapist 920 48th St Rm 1515, Brooklyn, NY 11219-2918 2017-10-26
1962958249 Patricia Cole Recreation Therapist 2049 Albany Post Road, Montrose, NY 10548 2016-08-28
1629422902 Karin Harris Recreation Therapist 73 Fairfield St, Middleville, NY 13406-1822 2016-04-22
1285017608 Jennin Mary Nangle Recreation Therapist 15 Borman Ct, Lake Ronkonkoma, NY 11779-1982 2015-07-02
1578974184 Anthony Martino Recreation Therapist 26041 73rd Ave, Glen Oaks, NY 11004-1029 2014-05-16
1316213796 Marianne Pastorella Recreation Therapist 26200 Red Tail Ln, Evans Mills, NY 13637-3436 2012-03-29
1942574165 Sanya Williams Recreation Therapist 832 Grand Terrace Ave, North Baldwin, NY 11510-1423 2012-03-06
1558686642 Janice Gully Recreation Therapist 82 Meadowmere Ave, Mastic, NY 11950-4606 2010-03-31
1265626485 G Ruyack Recreation Therapist 2094 Albany Post Road Rt 9a, Montrose, NY 10548-0100 2007-08-30
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Competitor

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City ALBANY
Zip Code 12208

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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