Individual provider Active NPI

Debra A Tupe, PHD, MPH, OTR

  • Pediatric Occupational Therapist
  • New York, NY
National Provider Identifier
1093095085
Registry record updated Aug 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
3315 Issued in NY
Practice address
423 W 120TH St
Apartment 92
New York, NY 10027-6028
Phone
(212) 600-0419
Fax
(212) 305-4569
NPI assigned
Aug 22, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 22, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X 3315 NY Primary

Addresses

Primary practice location

423 W 120TH St
Apartment 92
New York, NY 10027-6028

Mailing address

423 W 120TH St
Apartment 92
New York, NY 10027-6028
Phone (212) 600-0419

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
3315NYMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1313971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313971200000",
    "number": "1093095085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "423 W 120TH ST",
            "address_2": "APARTMENT 92",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100276028",
            "telephone_number": "212-600-0419",
            "fax_number": "212-305-4569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "423 W 120TH ST",
            "address_2": "APARTMENT 92",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100276028",
            "telephone_number": "212-600-0419",
            "fax_number": "212-305-4569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUPE",
        "first_name": "DEBRA",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "PHD, MPH, OTR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-08-22",
        "last_updated": "2011-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NY",
            "license": "3315",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2011; 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.