Individual provider Active NPI

Anna Slobodyansky, OTR/L MS

  • Physical Rehabilitation Occupational Therapist
  • Brooklyn, NY
National Provider Identifier
1033488028
Registry record updated Dec 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Rehabilitation Occupational TherapistTaxonomy code 225XP0019X
License
017125-1 Issued in NY
Practice address
601 Surf Ave Apt 23F
Brooklyn, NY 11224-3425
Phone
(718) 781-8283
Fax
(718) 372-7891
NPI assigned
Dec 20, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 20, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Rehabilitation Occupational Therapist 225XP0019X 017125-1 NY Primary

Addresses

Primary practice location

601 Surf Ave Apt 23F
Brooklyn, NY 11224-3425

Mailing address

601 Surf Ave Apt 23F
Brooklyn, NY 11224-3425
Phone (718) 781-8283

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150204000208 NY Practitioner - Occupational Therapist in Private Practice 3375868870 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Core Therapy Services PT OT PLLCGroup PAC ID 4587041512, 28 clinicians

Practice addresses (Care Compare)

2003 Coney Island Ave
Brooklyn, NY 11223-2328
Phone (347) 394-1600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
017125-1NYMDPhysical Rehabilitation Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Rehab on Wheels OT PT PLLC CurrentSince Sep 11, 2023 Accepting new patients
Core Therapy Services PT OT PLLC CurrentSince Sep 23, 2023 Accepting new patients
Prokinetics Physical Therapy P.C. CurrentSince Sep 11, 2023 Accepting new patients
Visiting PT OT Services PLLC CurrentSince Feb 8, 2024 Accepting new patients
Patriot Family Medical Associates PLLC PastSince May 30, 2016 Accepting new patients

Locations

2003 Coney Island Ave
Brooklyn, NY 11223
Phone (347) 394-1600

8419 Bay Pkwy
Brooklyn, NY 11214
Phone (718) 259-0199

174 Bay 29th St
Ste C1
Brooklyn, NY 11214
Phone (646) 750-4455

85 Roosevelt Ave
Valley Stream, NY 11581
Phone (516) 791-9500

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1324339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1324339200000",
    "number": "1033488028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 SURF AVE APT 23F",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112243425",
            "telephone_number": "718-781-8283",
            "fax_number": "718-372-7891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 SURF AVE APT 23F",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112243425",
            "telephone_number": "718-781-8283",
            "fax_number": "718-372-7891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLOBODYANSKY",
        "first_name": "ANNA",
        "name_prefix": "Mrs.",
        "credential": "OTR/L MS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-12-20",
        "last_updated": "2011-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0019X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Physical Rehabilitation",
            "state": "NY",
            "license": "017125-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Dec 20, 2011; 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.