Active NPI
Alina Yusupova
- Pediatric Occupational Therapist
- Rego Park, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- 019056
- Practice address
- 9932 64TH Rd
Rego Park, NY 11374-2646 - Phone
- (646) 245-1734
- NPI assigned
- Sep 5, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | 019056 | NY | Primary |
Addresses
Primary practice location
9932 64TH Rd
Rego Park, NY 11374-2646
Mailing address
9932 64TH Rd
Rego Park, NY 11374-2646
Phone (646) 245-1734
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
171 Kings Hwy
Brooklyn, NY 11223-1023
Phone (914) 837-6538
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 019056 | NY | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| PT and OT for Senior Rehab at Home PLLC | Current | Accepting new patients | |
| Ats Rehab OT & PT & SLP PLLC | Current | Accepting new patients | |
| Link Home Therapy Services of Ny-PT OT SLP PLLC | Current | Accepting new patients |
Locations
180 Sylvan Ave
Ste 4
Englewood Cliffs, NJ 07632
Phone (347) 841-8943
1105 E County Line Rd
Ste 213
Lakewood, NJ 08701
171 Kings Hwy
Brooklyn, NY 11223
Phone (877) 722-7700
8008 45th Ave
Ofc
Elmhurst, NY 11373
10825 Horace Harding Expy
Flushing, NY 11368
Phone (516) 216-4108
475 Northern Blvd
Ste 37
Great Neck, NY 11021
Phone (516) 344-0023
274 W Broadway
Long Beach, NY 11561
Phone (516) 431-1400
108 S Franklin Ave
Ste 10
Valley Stream, NY 11580
Organizations & group practices 4
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.
-
- Geriatric Physical Therapist
- Brooklyn, NY
- NPI 1811463003
-
- Occupational Therapist
- Long Beach, NY
- NPI 1841711454
-
- Physical Therapy Clinic/Center
- Valley Stream, NY
- NPI 1942782966
-
- Specialist
- Bellmore, NY
- NPI 1730467572
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1409875200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1409875200000",
"number": "1023419397",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9932 64TH RD",
"city": "REGO PARK",
"state": "NY",
"postal_code": "113742646",
"telephone_number": "646-245-1734"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9932 64TH RD",
"city": "REGO PARK",
"state": "NY",
"postal_code": "113742646",
"telephone_number": "646-245-1734"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YUSUPOVA",
"first_name": "ALINA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-09-05",
"last_updated": "2014-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "NY",
"license": "019056",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rego Park, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2014; 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.