Individual provider Active NPI

Agapito Rivera Pasinos Jr., OTR/L

  • Occupational Therapist
  • Forest Hills, NY
National Provider Identifier
1063656965
Registry record updated Apr 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
012421 Issued in NY
Practice address
11045 71St Rd
Suite 1G
Forest Hills, NY 11375-4960
Phone
(718) 593-4121
Fax
(718) 268-2646
NPI assigned
Apr 23, 2009
Last updated
Apr 23, 2009By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 23, 2009

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 012421 NY Primary

Addresses

Primary practice location

11045 71St Rd
Suite 1G
Forest Hills, NY 11375-4960

Mailing address

95 E Carpenter St
Valley Stream, NY 11580-4419

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)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1240444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1240444800000",
    "number": "1063656965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95 E CARPENTER ST",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115804419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11045 71ST RD",
            "address_2": "SUITE 1G",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113754960",
            "telephone_number": "718-593-4121",
            "fax_number": "718-268-2646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PASINOS",
        "first_name": "AGAPITO",
        "middle_name": "RIVERA",
        "name_suffix": "Jr.",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-04-23",
        "last_updated": "2009-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "012421",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest Hills, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2009; 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.