Organization Active NPI

Grutman Occupational Therapy PC

  • Occupational Therapist
  • Brooklyn, NY
National Provider Identifier
1003673500
Registry record updated Mar 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Legal business name
GRUTMAN OCCUPATIONAL THERAPY PC
Practice address
2879 W 12TH St Apt 8Q
Brooklyn, NY 11224-3026
Phone
(646) 541-4417
NPI assigned
Mar 1, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2024

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

Authorized official

Name
Valentine GrutmanNPI 1871198051
Title
Owner
Phone
(646) 541-4417

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225X00000X Primary

Addresses

Primary practice location

2879 W 12TH St Apt 8Q
Brooklyn, NY 11224-3026

Mailing address

2879 W 12TH St Apt 8Q
Brooklyn, NY 11224-3026
Phone (646) 541-4417

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240321002655 NY Part B Supplier - Physical/Occupational Therapy Group in Private Practice 0547607897 Receives reassigned benefits from 1 practitioner
Practice locations: Brooklyn, NY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1709251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709251200000",
    "number": "1003673500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2879 W 12TH ST APT 8Q",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112243026",
            "telephone_number": "646-541-4417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2879 W 12TH ST APT 8Q",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112243026",
            "telephone_number": "646-541-4417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRUTMAN OCCUPATIONAL THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-01",
        "last_updated": "2024-03-01",
        "certification_date": "2024-03-01",
        "status": "A",
        "authorized_official_last_name": "GRUTMAN",
        "authorized_official_first_name": "VALENTINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "646-541-4417"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 Mar 1, 2024; 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.