Pivotal Motion Occupational Therapy, PLLC

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

PIVOTAL MOTION OCCUPATIONAL THERAPY, PLLC

Practice address

13526 78TH Ave Apt F
Flushing, NY 11367-3276

Phone

(347) 265-3064

NPI assigned

Jun 24, 2024

Organization subpart

Yes

Parent organization

PIVOTAL MOTION OCCUPATIONAL THERAPY, PLLCAs reported in NPPES

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

Authorized official

Name

Mrs. Marianna Ilyasova, OTRLNPI 1861833626

Title

Occupational Therapist

Phone

(347) 265-3064

Specialties & licenses 1

Addresses

Part of

Pivotal Motion Occupational Therapy PLLC

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Marianna Ilyasova, OTRL

  • Occupational Therapist
  • Flushing, NY
  • NPI 1861833626
  NPD Authorized official

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

{
    "created_epoch": "1719187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719187200000",
    "number": "1114761293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13526 78TH AVE APT F",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113673276",
            "telephone_number": "347-265-3064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13526 78TH AVE APT F",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113673276",
            "telephone_number": "347-265-3064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIVOTAL MOTION OCCUPATIONAL THERAPY, PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PIVOTAL MOTION OCCUPATIONAL THERAPY, PLLC",
        "enumeration_date": "2024-06-24",
        "last_updated": "2024-06-24",
        "certification_date": "2024-06-23",
        "status": "A",
        "authorized_official_last_name": "ILYASOVA",
        "authorized_official_first_name": "MARIANNA",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "347-265-3064",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "OTRL"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michele Pisano, PHARM.D.
• Nissa Pisano, PHARM.D.
• Mahnaz Michelle Pishanidar, PT
• Sammy Daniel Pishanidar, M.D.
• Parminne Pitamber, MA, CCC-SLP
• Alejandro Pizano, MD
• Andrea C Pizarro, PA
• John Pizzolla, M.D.
• Kimberly Placencia, MD
• Plastic Surgery PLLC

• Health Service Clinic/Center in Flushing, NY
• Providers in Flushing, NY by specialty
• Health Service Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2024; 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.