Individual provider Active NPI

Blimie Gross

  • Pediatric Occupational Therapist
  • Brooklyn, NY
National Provider Identifier
1003551227
Registry record updated May 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
026654-01 Issued in NY
Practice address
909 E 29TH St Apt 2E
Brooklyn, NY 11210-3708
Phone
(718) 679-7094
NPI assigned
May 2, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X 026654-01 NY Primary

Addresses

Primary practice location

909 E 29TH St Apt 2E
Brooklyn, NY 11210-3708

Mailing address

909 E 29TH St Apt 2E
Brooklyn, NY 11210-3708
Phone (718) 679-7094

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address blimie.gross@yorkmail.cuny.edu

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
026654-01NYMDPediatric Occupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1651449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651449600000",
    "number": "1003551227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "909 E 29TH ST APT 2E",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112103708",
            "telephone_number": "718-679-7094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "909 E 29TH ST APT 2E",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112103708",
            "telephone_number": "718-679-7094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROSS",
        "first_name": "BLIMIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-02",
        "last_updated": "2022-05-02",
        "certification_date": "2022-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NY",
            "license": "026654-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "blimie.gross@yorkmail.cuny.edu",
            "affiliation": "N",
            "address_1": "909 E 29th St Apt 2E",
            "city": "Brooklyn",
            "state": "NY",
            "country_code": "US",
            "postal_code": "112103708",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 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.