Individual provider Active NPI

Anthony Kahrl Bigornia, OT

  • Occupational Therapist
  • Bronx, NY
National Provider Identifier
1083083539
Registry record updated Mar 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
019768-1 Issued in NY
Practice address
444 Willis Ave
Bronx, NY 10455-4013
Phone
(646) 236-6898
Fax
(570) 729-7242
NPI assigned
Sep 15, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 4, 2022

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 019768-1 NY Primary

Addresses

Primary practice location

444 Willis Ave
Bronx, NY 10455-4013

Mailing address

8015 231St St
Queens Village, NY 11427-2107
Phone (646) 236-6898

Other practice location 1

3636 33rd St Ste 500
Astoria, NY 11106-2329
Phone (212) 529-9780

Other identifiers 1

IdentifierTypeStateIssuer
06841845MedicaidNY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210830000861 NY Practitioner - Occupational Therapist in Private Practice 5092110049 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
019768-1NYMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ms Resources Occupational Therapist Current Accepting new patients
Maximal Care Services Inc Occupational Therapist Current Accepting new patients

Locations

444 Willis Ave
Bronx, NY 10455
Phone (347) 862-2700

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1442275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646352000000",
    "number": "1083083539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8015 231ST ST",
            "city": "QUEENS VILLAGE",
            "state": "NY",
            "postal_code": "114272107",
            "telephone_number": "646-236-6898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "444 WILLIS AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104554013",
            "telephone_number": "646-236-6898",
            "fax_number": "570-729-7242"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3636 33rd St Ste 500",
            "address_purpose": "LOCATION",
            "city": "Astoria",
            "state": "NY",
            "postal_code": "111062329",
            "country_code": "US",
            "telephone_number": "212-529-9780",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BIGORNIA",
        "first_name": "ANTHONY KAHRL",
        "credential": "OT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-09-15",
        "last_updated": "2022-03-04",
        "certification_date": "2022-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "019768-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "06841845",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2022; 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.