Individual provider Active NPI

Alexandra Di Zoppola-Brown, OTR/L

  • Occupational Therapist
  • East Northport, NY
National Provider Identifier
1023297231
Registry record updated Aug 29, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
010045-1 Issued in NY
Practice address
7 Elsmere PL
East Northport, NY 11731-5809
Phone
(631) 462-1084
NPI assigned
Oct 24, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 29, 2009

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 010045-1 NY Primary

Addresses

Primary practice location

7 Elsmere PL
East Northport, NY 11731-5809

Mailing address

7 Elsmere PL
East Northport, NY 11731-5809
Phone (631) 462-1084

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
010045-1NYMDCognitive & Behavioral Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1193184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1251504000000",
    "number": "1023297231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 ELSMERE PL",
            "city": "EAST NORTHPORT",
            "state": "NY",
            "postal_code": "117315809",
            "telephone_number": "631-462-1084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 ELSMERE PL",
            "city": "EAST NORTHPORT",
            "state": "NY",
            "postal_code": "117315809",
            "telephone_number": "631-462-1084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DI ZOPPOLA-BROWN",
        "first_name": "ALEXANDRA",
        "name_prefix": "Mrs.",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-24",
        "last_updated": "2009-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "010045-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Northport, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2009; 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.