Active NPI
Rebecca Ann Wolf, OTR/L
- Occupational Therapist
- Ridgewood, NY
National Provider Identifier
1063788644
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 016216-1
- Practice address
- 559 Cypress Ave
Ridgewood, NY 11385-1760 - Phone
- (718) 821-9800
- NPI assigned
- Mar 28, 2012
- Last updated
- Mar 28, 2012
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 016216-1 | NY | Primary |
Addresses
Primary practice location
559 Cypress Ave
Ridgewood, NY 11385-1760
Mailing address
1 Kensington Gate
#102
Great Neck, NY 11021-1202
Phone (917) 886-2802
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 016216-1 | NY | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1332892800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1332892800000",
"number": "1063788644",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 KENSINGTON GATE",
"address_2": "#102",
"city": "GREAT NECK",
"state": "NY",
"postal_code": "110211202",
"telephone_number": "917-886-2802"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "559 CYPRESS AVE",
"city": "RIDGEWOOD",
"state": "NY",
"postal_code": "113851760",
"telephone_number": "718-821-9800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOLF",
"first_name": "REBECCA",
"middle_name": "ANN",
"name_prefix": "Mrs.",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-03-28",
"last_updated": "2012-03-28",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NY",
"license": "016216-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ridgewood, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.