Organization Active NPI

Hand Rehabilitation of Suffolk

  • Hand Occupational Therapist
  • Babylon, NY
National Provider Identifier
1053741843
Registry record updated Nov 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hand Occupational TherapistTaxonomy code 225XH1200X
License
0030011 Issued in NY
Legal business name
HAND REHABILITATION OF SUFFOLK
Practice address
400 W Main St
Ste109
Babylon, NY 11702-3012
Phone
(631) 893-1957
Fax
(631) 893-1958
NPI assigned
Nov 15, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2013

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

Authorized official

Name
Alicia G Epstein, OTR CHT
Title
President
Phone
(631) 893-1957

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hand Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225XH1200X 0030011 NY Primary

Addresses

Primary practice location

400 W Main St
Ste109
Babylon, NY 11702-3012

Mailing address

400 W Main St
Ste109
Babylon, NY 11702-3012
Phone (631) 893-1957

Other identifiers 1

IdentifierTypeStateIssuer
0030011OtherNYLICENSE

National Provider Directory

National Provider Directory

Locations

400 W Main St
Ste 109
Babylon, NY 11702
Phone (631) 707-3780

NPI Registry JSON

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

{
    "created_epoch": "1384473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384473600000",
    "number": "1053741843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 W MAIN ST",
            "address_2": "STE109",
            "city": "BABYLON",
            "state": "NY",
            "postal_code": "117023012",
            "telephone_number": "631-893-1957",
            "fax_number": "631-893-1958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 W MAIN ST",
            "address_2": "STE109",
            "city": "BABYLON",
            "state": "NY",
            "postal_code": "117023012",
            "telephone_number": "631-893-1957",
            "fax_number": "631-893-1958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAND REHABILITATION OF SUFFOLK",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-15",
        "last_updated": "2013-11-15",
        "status": "A",
        "authorized_official_last_name": "EPSTEIN",
        "authorized_official_first_name": "ALICIA",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "631-893-1957",
        "authorized_official_credential": "OTR CHT"
    },
    "taxonomies": [
        {
            "code": "225XH1200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Hand",
            "state": "NY",
            "license": "0030011",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "0030011",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Babylon, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 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.

Verify at the official NPI Registry.