Integrated Occupational Therapy Services

Primary specialty

ContractorTaxonomy code 171W00000X

Legal business name

INTEGRATED OCCUPATIONAL THERAPY SERVICES

Practice address

17 N Chatsworth Ave
Apt. 4F
Larchmont, NY 10538-2109

Phone

(718) 938-3302

NPI assigned

Oct 27, 2011

Organization subpart

No

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

Authorized official

Name

Mr. John Eboli, OTR/L

Title

President

Phone

(718) 938-3302

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1319673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319673600000",
    "number": "1104102698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 N CHATSWORTH AVE",
            "address_2": "APT. 4F",
            "city": "LARCHMONT",
            "state": "NY",
            "postal_code": "105382109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 N CHATSWORTH AVE",
            "address_2": "APT. 4F",
            "city": "LARCHMONT",
            "state": "NY",
            "postal_code": "105382109",
            "telephone_number": "718-938-3302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATED OCCUPATIONAL THERAPY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-27",
        "last_updated": "2011-10-27",
        "status": "A",
        "authorized_official_last_name": "EBOLI",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-938-3302",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Contractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hopp Physical Therapy PLLC
• Mary Louise Hunt, MSPT
• Brigit Hurley, M.S.
• Denise K Hyams, PH.D.
• Dallin G Inouye, DPT
• Integrative Wellness
• Julia Iskhakov
• Nataliya Istomina, MHC-LP
• Jeffrey H Jacob
• Colleen McClain Jacobson, PHD

• Contractor in Larchmont, NY
• Providers in Larchmont, NY by specialty
• Contractor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 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.