Individual provider Active NPI

Tara Congimi, OTRL CHT

  • Occupational Therapist
  • Brooklyn, NY
National Provider Identifier
1033284344
Registry record updated Aug 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
0094691 Issued in NY
Practice address
4013 Avenue U
Brooklyn, NY 11234-5117
Phone
(718) 692-4100
Fax
(718) 692-0089
NPI assigned
Nov 21, 2006
Last updated
Aug 24, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 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 0094691 NY Primary

Addresses

Primary practice location

4013 Avenue U
Brooklyn, NY 11234-5117

Mailing address

31 New Dorp LN
Suite 1 LL
Staten Island, NY 10306-2351
Phone (718) 370-3500

Other names 1

  • Tara Soffientini Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040517000628 NY Practitioner - Occupational Therapist in Private Practice 4385634708 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1103 Boulevard E
Suite 101
Yaphank, NY 11980-7515
Phone (516) 536-3800

2608 Merrick Rd
Bellmore, NY 11710-5715
Phone (516) 730-2230

44 Saint Marks PL
New York, NY 10003-8118
Phone (212) 529-5966

444 Merrick Rd
Suite 360
Lynbrook, NY 11563-2460
Phone (516) 536-3800

45 Crossways Park Dr W
Woodbury, NY 11797-2002
Phone (516) 621-1170

Merit-based Incentive Payment System (MIPS)

Final score
77.16 of 100Reported as group
Quality
70
Improvement activities
40
Cost
78.87

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0094691NYMDOccupational Therapist
009469NYMDCritical Care Registered Respiratory Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Sports Physical Therapy Occupational Therapy and Rehabilitation Servic Occupational Therapist CurrentSince Jun 1, 2019 Accepting new patients
True North Medical Group PC Occupational Therapist CurrentSince Jan 1, 2018 Accepting new patients
True North Medical Group PC CurrentSince Jan 1, 2018 Accepting new patients
Sports Physical Therapy Occupational Therapy and Rehabilitation Servic Occupational Therapist CurrentSince Jun 1, 2019 Accepting new patients
Richard Bodian,PT Occupational Therapist Past Accepting new patients
Richard Bodian, PT Occupational Therapist Past Accepting new patients
Richard Bodian, PT Past Accepting new patients

Locations

9920 4th Ave
Ste 102
Brooklyn, NY 11209
Phone (718) 238-9873

444 Merrick Rd
Lynbrook, NY 11563
Phone (516) 536-3800

1728 Sunrise Hwy
Merrick, NY 11566
Phone (516) 992-4700

36 Lincoln Ave
Fl 2
Rockville Ctr, NY 11570
Phone (516) 766-2176

36 Lincoln Ave
Fl 3
Rockville Ctr, NY 11570

Organizations & group practices 7

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": "1164067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282608000000",
    "number": "1033284344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 NEW DORP LN",
            "address_2": "SUITE 1 LL",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103062351",
            "telephone_number": "718-370-3500",
            "fax_number": "718-979-5236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4013 AVENUE U",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112345117",
            "telephone_number": "718-692-4100",
            "fax_number": "718-692-0089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONGIMI",
        "first_name": "TARA",
        "name_prefix": "Ms.",
        "credential": "OTRL CHT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-21",
        "last_updated": "2010-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "0094691",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TARA",
            "last_name": "SOFFIENTINI",
            "credential": "OTRL CHT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 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.