Mary B Borrello, COTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

011104 Issued in NY

Practice address

2449 33Rd St Apt 1R
Astoria, NY 11102-1111

Phone

(917) 628-6893

NPI assigned

Jun 13, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1655078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655078400000",
    "number": "1083344055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2449 33RD ST APT 1R",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111021111",
            "telephone_number": "917-628-6893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2449 33RD ST APT 1R",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111021111",
            "telephone_number": "917-628-6893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORRELLO",
        "first_name": "MARY",
        "middle_name": "B",
        "name_prefix": "Ms.",
        "credential": "COTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-13",
        "last_updated": "2022-06-13",
        "certification_date": "2022-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapy Assistant",
            "state": "NY",
            "license": "011104",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joshua Bonsell, M.D.
• Cynthia D Boone
• Rolando Borges, MD
• Komal Maruti Borkar, PT
• Alexandria Boronow
• Elizabeth Borukhova, NP
• Veronika Borukhova, PHARMD
• Shishir K. Bose, MD
• Amy Bosk, LCSW
• John Bosworth, RPA

• Occupational Therapy Assistant in Astoria, NY
• Providers in Astoria, NY by specialty
• Occupational Therapy Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2022; 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.