Individual provider Active NPI

Irina Kushnirskaya, OTR/L

  • Occupational Therapist
  • Staten Island, NY
National Provider Identifier
1003118985
Registry record updated Nov 25, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
016476-1 Issued in NY
Practice address
214 Sycamore St
Staten Island, NY 10312-5616
Phone
(718) 966-2613
NPI assigned
Nov 25, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 25, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 016476-1 NY Primary

Addresses

Primary practice location

214 Sycamore St
Staten Island, NY 10312-5616

Mailing address

214 Sycamore St
Staten Island, NY 10312-5616
Phone (718) 966-2613

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121219000088 NY Practitioner - Occupational Therapist in Private Practice 5698927770 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
016476-1NYMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
In House Physical Therapy PLLC CurrentSince Aug 27, 2017 Accepting new patients
High Impact Occupational Therapy PC Occupational Therapist CurrentSince Aug 19, 2017 Accepting new patients
Outreach Physical and Occupational Therapy & Speech Rehabilitation, PLLC CurrentSince Jul 19, 2017 Accepting new patients
Rehab on Wheels OT PT PLLC Occupational Therapist CurrentSince Oct 12, 2017 Accepting new patients
Prokinetics Physical Therapy P.C. PastSince Jul 5, 2023 Accepting new patients
Coney Island Medical Services PC Occupational Therapist Past Accepting new patients

Locations

8419 Bay Pkwy
Brooklyn, NY 11214
Phone (718) 259-0199

174 Bay 29th St
Ste C1
Brooklyn, NY 11214
Phone (646) 750-4455

3 Grace Ave
Ste 119
Great Neck, NY 11021
Phone (212) 842-0080

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1290643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1290643200000",
    "number": "1003118985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 SYCAMORE ST",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103125616",
            "telephone_number": "718-966-2613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 SYCAMORE ST",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103125616",
            "telephone_number": "718-966-2613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUSHNIRSKAYA",
        "first_name": "IRINA",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-11-25",
        "last_updated": "2010-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "016476-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.