Individual provider Active NPI

Toby Grossman, OTR

  • Occupational Therapist
  • Brooklyn, NY
National Provider Identifier
1093090250
Registry record updated Oct 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
016787-1 Issued in NY
Practice address
1953 E 22ND St
Brooklyn, NY 11229-3615
Phone
(718) 375-1490
Fax
(718) 375-1490
NPI assigned
Oct 19, 2011
Last updated
Oct 19, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 19, 2011

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 016787-1 NY Primary

Addresses

Primary practice location

1953 E 22ND St
Brooklyn, NY 11229-3615

Mailing address

1953 E 22ND St
Brooklyn, NY 11229-3615
Phone (718) 375-1490

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120206000033 NY Practitioner - Occupational Therapist in Private Practice 4981861895 Reassigns benefits to 2 organizations
Practice locations: Brooklyn, NY

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Columbia University College of Physicians and Surgeons, 2010
Medicare assignment
May accept Medicare assignment
Group practices

Practice addresses (Care Compare)

813 Quentin Rd
Suite 106
Brooklyn, NY 11223-2219
Phone (718) 627-8100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
016787-1NYMDOccupational Therapist
016787NYMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Achieve Occupational Therapy and Physical Therapy of Brooklyn, PLLC CurrentSince Aug 2, 2024 Accepting new patients
Ability HR Hand Therapy, OT and PT PLLC Occupational Therapist CurrentSince Feb 2, 2012 Accepting new patients

Locations

813 Quentin Rd
Ste 106
Brooklyn, NY 11223
Phone (718) 627-8100

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1318982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318982400000",
    "number": "1093090250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1953 E 22ND ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112293615",
            "telephone_number": "718-375-1490",
            "fax_number": "718-375-1490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1953 E 22ND ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112293615",
            "telephone_number": "718-375-1490",
            "fax_number": "718-375-1490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROSSMAN",
        "first_name": "TOBY",
        "credential": "OTR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-10-19",
        "last_updated": "2011-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "016787-1",
            "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 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.