Individual provider Active NPI

Israel From, M.A. OTR-L

  • Occupational Therapist
  • Teaneck, NJ
National Provider Identifier
1003971466
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
46TR00259900 Issued in NJ
Practice address
1387 Milford Ter
Teaneck, NJ 07666-2146
Phone
(201) 836-4791
NPI assigned
Dec 26, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 007313-1 NY
Occupational Therapist 225X00000X 46TR00259900 NJ Primary

Addresses

Primary practice location

1387 Milford Ter
Teaneck, NJ 07666-2146

Mailing address

1387 Milford Ter
Teaneck, NJ 07666-2146

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)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
007313-1NYMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Back to Health Physical Therapy Associates, P.a. PastSince Jan 1, 2007 Accepting new patients

Organizations & group practices 1

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": "1167091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1003971466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1387 MILFORD TER",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076662146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1387 MILFORD TER",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076662146",
            "telephone_number": "201-836-4791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FROM",
        "first_name": "ISRAEL",
        "name_prefix": "Mr.",
        "credential": "M.A. OTR-L",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "007313-1",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NJ",
            "license": "46TR00259900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Teaneck, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.