Active NPI
Debra Leah Ehrenberg
- Occupational Therapist
- Lawrence, NY
National Provider Identifier
1104186352
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 014061
- Practice address
- 124 Cumberland PL
Lawrence, NY 11559-1334 - Phone
- (347) 524-6121
- Fax
- (718) 337-2268
- NPI assigned
- May 22, 2012
- Sex
- Female
- Sole proprietor
- Yes
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 | 014061 | NY | Primary |
Addresses
Primary practice location
124 Cumberland PL
Lawrence, NY 11559-1334
Mailing address
124 Cumberland PL
Lawrence, NY 11559-1334
Phone (347) 524-6121
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 014061 | NY | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1337644800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1337644800000",
"number": "1104186352",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "124 CUMBERLAND PL",
"city": "LAWRENCE",
"state": "NY",
"postal_code": "115591334",
"telephone_number": "347-524-6121",
"fax_number": "718-337-2268"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "124 CUMBERLAND PL",
"city": "LAWRENCE",
"state": "NY",
"postal_code": "115591334",
"telephone_number": "347-524-6121",
"fax_number": "718-337-2268"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EHRENBERG",
"first_name": "DEBRA",
"middle_name": "LEAH",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-05-22",
"last_updated": "2012-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NY",
"license": "014061",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lawrence, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.