Life Skills Enhancement Occupational Therapy Services, PC

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

013794-1 Issued in NY

Legal business name

LIFE SKILLS ENHANCEMENT OCCUPATIONAL THERAPY SERVICES, PC

Practice address

225A Pond Way
Staten Island, NY 10303-1645

Phone

(513) 258-9586

NPI assigned

Feb 12, 2007

Organization subpart

No

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

Authorized official

Name

Kelli Prather, OT

Title

President/Owner

Phone

(513) 258-9586

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Inga Balanovsky, OTR/L

  • Occupational Therapist
  • Brooklyn, NY
  • NPI 1104066281
  NPD

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1460678400000",
    "number": "1124160999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 141049",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452501049",
            "telephone_number": "513-258-9586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225A POND WAY",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103031645",
            "telephone_number": "513-258-9586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE SKILLS ENHANCEMENT OCCUPATIONAL THERAPY SERVICES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-12",
        "last_updated": "2016-04-15",
        "status": "A",
        "authorized_official_last_name": "PRATHER",
        "authorized_official_first_name": "KELLI",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "513-258-9586",
        "authorized_official_credential": "OT"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "013794-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dawn Lieberman, RN
• Gina Lieberman
• Ruth Lieberman, R.N, LMHC
• Elaine Liebman, MSED
• Liezl Villaverde, MD PC
• Lifeline Imaging LLC
• Lifeline Pharmacy Incorporated
• Lifes Bounty Medical Care P C
• Lifespire, Inc.
• Lifespire, Inc.

• Occupational Therapist in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Occupational Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2016; 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.