Active NPI
Justin Thomas, OTR/L
- Occupational Therapist
- Jamaica, NY
National Provider Identifier
1093207342
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 22571
- Practice address
- 17900 Linden Blvd
Jamaica, NY 11425-1633 - Phone
- (718) 526-1000
- NPI assigned
- Jun 2, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 22571 | NY | Primary |
Addresses
Primary practice location
17900 Linden Blvd
Jamaica, NY 11425-1633
Mailing address
33 Holland Ave
Elmont, NY 11003-1633
Phone (516) 305-2336
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22571 | NY | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1527897600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1645747200000",
"number": "1093207342",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "33 HOLLAND AVE",
"city": "ELMONT",
"state": "NY",
"postal_code": "110031633",
"telephone_number": "516-305-2336"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17900 LINDEN BLVD",
"city": "JAMAICA",
"state": "NY",
"postal_code": "114251633",
"telephone_number": "718-526-1000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMAS",
"first_name": "JUSTIN",
"name_prefix": "Mr.",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-06-02",
"last_updated": "2022-02-25",
"certification_date": "2022-02-25",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NY",
"license": "22571",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jamaica, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 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.