Risha Portowicz

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Legal business name

RISHA PORTOWICZ

Practice address

750 Forest Ave Apt 46F
Lakewood, NJ 08701-2741

Phone

(917) 453-1119

NPI assigned

May 10, 2016

Organization subpart

No

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

Authorized official

Name

Risha Portowicz, OT

Title

Owner

Phone

(917) 453-1119

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1462838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462838400000",
    "number": "1013363936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 FOREST AVE APT 46F",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087012741",
            "telephone_number": "917-453-1119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 FOREST AVE APT 46F",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087012741",
            "telephone_number": "917-453-1119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RISHA PORTOWICZ",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-10",
        "last_updated": "2016-05-10",
        "status": "A",
        "authorized_official_last_name": "PORTOWICZ",
        "authorized_official_first_name": "RISHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-453-1119",
        "authorized_official_credential": "OT"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2016; 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.