Northbound OT PLLC

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

Legal business name

NORTHBOUND OT PLLC

Practice address

702 Kathleen PL Apt 4C
Brooklyn, NY 11235-5143

Phone

(212) 464-8365

Fax

(347) 587-1915

NPI assigned

Feb 11, 2020

Last updated

Aug 8, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Anatoly Pikman, OTR/LNPI 1255752424

Title

President

Phone

(212) 464-8365

Specialties & licenses 2

Addresses

Electronic endpoints 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Anatoly Pikman, OTR/L

  • Occupational Therapist
  • Merrick, NY
  • NPI 1255752424
  Authorized official Same address or phone
• Lydia Saad, OTR/L

  • Occupational Therapist
  • Brooklyn, NY
  • NPI 1033854922
  NPD

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

{
    "created_epoch": "1581379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659916800000",
    "number": "1003448648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "702 KATHLEEN PL APT 4C",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112355143",
            "telephone_number": "212-464-8365",
            "fax_number": "347-587-1915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "702 KATHLEEN PL APT 4C",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112355143",
            "telephone_number": "212-464-8365",
            "fax_number": "347-587-1915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHBOUND OT PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-11",
        "last_updated": "2022-08-08",
        "certification_date": "2022-08-08",
        "status": "A",
        "authorized_official_last_name": "PIKMAN",
        "authorized_official_first_name": "ANATOLY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "212-464-8365",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "APIKMANLIU@GMAIL.COM",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "702 Kathleen Pl Apt 4C",
            "city": "Brooklyn",
            "state": "NY",
            "country_code": "US",
            "postal_code": "112355143",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2022; 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.