NPIMap

Organization Active NPI

At Your Doorstep OT PLLC

  • Occupational Therapist
  • Brooklyn, NY
National Provider Identifier
1073371902
Registry record updated Oct 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 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
Last updated
Oct 11, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2024

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

Authorized official

Name
Daniel NassNPI 1316459936
Title
President
Phone
(646) 458-1369

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 39

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 39

NPI Registry JSON

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

{
    "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": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.