Individual provider Active NPI

Katherine Villa

  • Occupational Therapist
  • New York, NY
National Provider Identifier
1013228550
Registry record updated Jun 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
014919 Issued in NY
Practice address
4951 Chambers Street
6TH Floor
New York, NY 10007
Phone
(917) 286-5305
NPI assigned
Jun 30, 2010
Last updated
Jun 30, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 014919 NY Primary

Addresses

Primary practice location

4951 Chambers Street
6TH Floor
New York, NY 10007

Mailing address

37-63 B 83Rd St
Apt 403
Jackson Heights, NY 11372

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210628002032 NJ Practitioner - Occupational Therapist in Private Practice 9234530270 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Exemplary Home Therapy Services LLCGroup PAC ID 0840658084, 20 clinicians

Practice addresses (Care Compare)

1616 Hamilton St
Belleville, NJ 07109-5346
Phone (856) 506-6281

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
014919NYMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Functional Home Therapy Services LLC CurrentSince Jun 27, 2023 Accepting new patients
Exemplary Home Therapy Services LLC CurrentSince Jun 27, 2023 Accepting new patients
Visiting Therapy Services LLC Occupational Therapist CurrentSince May 20, 2021 Accepting new patients

Locations

271 US Highway 46
Ste H111
Fairfield, NJ 07004
Phone (877) 887-3574

188 Newark Pompton Tpke
Little Falls, NJ 07424
Phone (877) 887-3574

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1277856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277856000000",
    "number": "1013228550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37-63 B 83RD ST",
            "address_2": "APT 403",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "11372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4951 CHAMBERS STREET",
            "address_2": "6TH FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10007",
            "telephone_number": "917-286-5305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILLA",
        "first_name": "KATHERINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-30",
        "last_updated": "2010-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "014919",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.