OT Skilled Care PC

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Legal business name

OT SKILLED CARE PC

Practice address

1009 Brighton Beach Ave
Ste 1a
Brooklyn, NY 11235-5621

Phone

(718) 332-3200

Fax

(718) 332-3319

NPI assigned

Feb 9, 2010

Organization subpart

No

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

Authorized official

Name

Daniil Shoufer, OTR/L

Title

Owner

Phone

(917) 681-0338

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1265673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265673600000",
    "number": "1003148560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2525 BATCHELDER ST",
            "address_2": "APT 1K",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112351453",
            "telephone_number": "917-681-0338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1009 BRIGHTON BEACH AVE",
            "address_2": "STE 1A",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112355621",
            "telephone_number": "718-332-3200",
            "fax_number": "718-332-3319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OT SKILLED CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-09",
        "last_updated": "2010-02-09",
        "status": "A",
        "authorized_official_last_name": "SHOUFER",
        "authorized_official_first_name": "DANIIL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-681-0338",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Occupational Therapist in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Occupational Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.