Active NPI
Sasha L Jean-Bart, OTR/L
- Occupational Therapist
- Howard Beach, NY
National Provider Identifier
1104264084
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 023476-1
- Practice address
- 158-01 Cross Bay Blvd
Howard Beach, NY 11414 - Phone
- (718) 848-0875
- NPI assigned
- Jun 12, 2013
- Sex
- Female
- 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 | 023476-1 | NY | Primary |
Addresses
Primary practice location
158-01 Cross Bay Blvd
Howard Beach, NY 11414
Mailing address
47 Norfeld Blvd
Elmont, NY 11003-3616
Phone (516) 376-3863
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104264084 | Medicaid | NY |
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 |
|---|---|---|---|
| 023476-1 | NY | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1370995200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1560211200000",
"number": "1104264084",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "47 NORFELD BLVD",
"city": "ELMONT",
"state": "NY",
"postal_code": "110033616",
"telephone_number": "516-376-3863"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "158-01 CROSS BAY BLVD",
"city": "HOWARD BEACH",
"state": "NY",
"postal_code": "11414",
"telephone_number": "718-848-0875"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JEAN-BART",
"first_name": "SASHA",
"middle_name": "L",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-06-12",
"last_updated": "2019-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NY",
"license": "023476-1",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1104264084",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Howard Beach, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.