David Marc Tagle, OTR

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

019804-1 Issued in NY

Practice address

963 Scarsdale Rd
Scarsdale, NY 10583-4852

Phone

(914) 472-0783

NPI assigned

Sep 16, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1473984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473984000000",
    "number": "1013465186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3636 33RD ST STE 500",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111062329",
            "telephone_number": "212-529-9780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "963 SCARSDALE RD",
            "city": "SCARSDALE",
            "state": "NY",
            "postal_code": "105834852",
            "telephone_number": "914-472-0783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAGLE",
        "first_name": "DAVID",
        "middle_name": "MARC",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-09-16",
        "last_updated": "2016-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NY",
            "license": "019804-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey Bruce Sussman, PSY.D.
• Hetal Sutaria
• Ira Sutton, MD
• Marilyn W Sutton, MD
• Hengameh Hanna Tadbiri, FNP
• Takekazu Inaba DDS, PC
• Yonghong Tan
• David S Taubin, M.D.
• Yitzchak Rahm Teeter, LMSW
• Andrew Tepper, PHD, CNS

• Pediatric Occupational Therapist in Scarsdale, NY
• Providers in Scarsdale, NY by specialty
• Pediatric Occupational Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 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.