Individual provider Active NPI

Helen Marie Tomasik, OT

  • Occupational Therapist
  • Elma, NY
National Provider Identifier
1104122183
Registry record updated Feb 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
013528-1 Issued in NY
Practice address
960 West Maple Court
Elma, NY 14059
Phone
(716) 805-1440
Fax
(716) 805-1441
NPI assigned
Feb 8, 2011
Last updated
Feb 8, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 8, 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 013528-1 NY Primary

Addresses

Primary practice location

960 West Maple Court
Elma, NY 14059

Mailing address

960 West Maple Court
Elma, NY 14059
Phone (716) 805-1440

Other names 1

  • Helen Marie Koegel Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110511000631 NY Practitioner - Occupational Therapist in Private Practice 1951587732 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Suburban Adult Services Inc.Group PAC ID 1658378583, 14 clinicians

Practice addresses (Care Compare)

960 W Maple CT
Elma, NY 14059-9397
Phone (716) 805-1440

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
013528-1NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Suburban Adult Services-Inc. CurrentSince Feb 1, 2011 Accepting new patients

Locations

960 W Maple Ct
Elma, NY 14059
Phone (716) 805-1440

Organizations & group practices 1

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": "1297123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1297123200000",
    "number": "1104122183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "960 WEST MAPLE COURT",
            "city": "ELMA",
            "state": "NY",
            "postal_code": "14059",
            "telephone_number": "716-805-1440",
            "fax_number": "716-805-1441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "960 WEST MAPLE COURT",
            "city": "ELMA",
            "state": "NY",
            "postal_code": "14059",
            "telephone_number": "716-805-1440",
            "fax_number": "716-805-1441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOMASIK",
        "first_name": "HELEN",
        "middle_name": "MARIE",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-02-08",
        "last_updated": "2011-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "013528-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HELEN",
            "last_name": "KOEGEL",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Elma, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 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.