Active NPI
Amy Yocheved Nussbaum, OTR/L
- Occupational Therapist
- Woodmere, NY
National Provider Identifier
1114329620
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 019083
- Practice address
- 761 Bryant St
Woodmere, NY 11598-2904 - Phone
- (516) 569-0904
- NPI assigned
- Sep 16, 2014
- 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 | 019083 | NY | Primary |
Addresses
Primary practice location
761 Bryant St
Woodmere, NY 11598-2904
Mailing address
761 Bryant St
Woodmere, NY 11598-2904
Phone (516) 770-7953
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1410825600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1410825600000",
"number": "1114329620",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "761 BRYANT ST",
"city": "WOODMERE",
"state": "NY",
"postal_code": "115982904",
"telephone_number": "516-770-7953"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "761 BRYANT ST",
"city": "WOODMERE",
"state": "NY",
"postal_code": "115982904",
"telephone_number": "516-569-0904"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NUSSBAUM",
"first_name": "AMY",
"middle_name": "YOCHEVED",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-09-16",
"last_updated": "2014-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NY",
"license": "019083",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Woodmere, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.