Active NPI
Ilana Sabbagh, MS OTR/L
- Occupational Therapist
- Long Beach, NY
National Provider Identifier
1053506410
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 12869
- Practice address
- 363 W Walnut St
Long Beach, NY 11561-3216 - Phone
- (305) 890-4626
- NPI assigned
- Sep 10, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 12869 | FL | Primary |
| Pediatric Occupational Therapist | 225XP0200X | 12869 | FL |
Addresses
Primary practice location
363 W Walnut St
Long Beach, NY 11561-3216
Mailing address
363 West Walnut St
Long Beach, NY 11561
Phone (305) 890-4626
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12869 | FL | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1189382400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1377648000000",
"number": "1053506410",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "363 WEST WALNUT ST",
"city": "LONG BEACH",
"state": "NY",
"postal_code": "11561",
"telephone_number": "305-890-4626"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "363 W WALNUT ST",
"city": "LONG BEACH",
"state": "NY",
"postal_code": "115613216",
"telephone_number": "305-890-4626"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SABBAGH",
"first_name": "ILANA",
"name_prefix": "Mrs.",
"credential": "MS OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-09-10",
"last_updated": "2013-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "FL",
"license": "12869",
"primary": true
},
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "FL",
"license": "12869",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Long Beach, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.