At Your Doorstep OT PLLC
Organization Active NPI Occupational Therapist · Brooklyn, NY
NPI 1073371902 · NPPES record last updated Oct 11, 2024
Key facts
- NPI
- 1073371902
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Occupational Therapist 225X00000X
- Legal business name
- AT YOUR DOORSTEP OT PLLC
- Practice address
- 2620 E 18TH St Ofc 4
Brooklyn, NY 11235-3746 - Phone
- (917) 720-7649
- Fax
- (844) 839-0467
- NPI assigned
- Mar 6, 2024
- Organization subpart
- No
Authorized official
- Name
- Daniel Nass
- Title
- President
- Phone
- (646) 458-1369
Practitioners 39
-
Uchechukwu Francis Duru, PT, DPT
-
Ashraf Hassan, DPT
-
Zbigniew Matynia, PT
-
Daniel Simon Nass, OTR
-
Jheng-Kai Shih, DPT
-
Vishal Arora, PHYSICAL THERAPIST
-
Anne Louise Buchwald, DPT
-
Idongesit Dickson, OTR/L
-
Luis E Escobar, DPT
-
Michael David Gocheekit, MS, OTR/L
-
Edward Mordukhay, PT
-
David Pierre, P.T
-
Mark Polishchuk, OTR
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20241105002551 | NY | Part B Supplier - Physical/Occupational Therapy Group in Private Practice | 8022542653 |
Receives reassigned benefits from 36 practitioners Practice locations: Brooklyn, NY |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist |
225X00000X | Yes |
Addresses
Primary practice location
2620 E 18TH St Ofc 4
Brooklyn, NY 11235-3746
Mailing address
2620 E 18TH St Ofc 4
Brooklyn, NY 11235-3746
Phone (917) 720-7649
NPI Registry JSON
{
"created_epoch": "1709683200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1728604800000",
"number": "1073371902",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2620 E 18TH ST OFC 4",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112353746",
"telephone_number": "917-720-7649",
"fax_number": "844-839-0467"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2620 E 18TH ST OFC 4",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112353746",
"telephone_number": "917-720-7649",
"fax_number": "844-839-0467"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AT YOUR DOORSTEP OT PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-03-06",
"last_updated": "2024-10-11",
"certification_date": "2024-10-11",
"status": "A",
"authorized_official_last_name": "NASS",
"authorized_official_first_name": "DANIEL",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "646-458-1369"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Occupational Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 11, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.