Active NPI
Charles Frednick Pisano, OTL
- Occupational Therapist
- Brooklyn, NY
National Provider Identifier
1134434400
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 011856-1
- Practice address
- 1302 Kings Highway
Millenium Rehab Services
Brooklyn, NY 11229 - Phone
- (718) 998-3700
- Fax
- (719) 998-9100
- NPI assigned
- Aug 11, 2010
- Sex
- Male
- 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 | 011856-1 | NY | Primary |
Addresses
Primary practice location
1302 Kings Highway
Millenium Rehab Services
Brooklyn, NY 11229
Mailing address
184 East 17TH Street
Huntington Station, NY 11746
Phone (516) 996-4332
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 |
|---|---|---|---|
| 011856-1 | NY | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1281484800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1281484800000",
"number": "1134434400",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "184 EAST 17TH STREET",
"city": "HUNTINGTON STATION",
"state": "NY",
"postal_code": "11746",
"telephone_number": "516-996-4332",
"fax_number": "631-427-3147"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1302 KINGS HIGHWAY",
"address_2": "MILLENIUM REHAB SERVICES",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "11229",
"telephone_number": "718-998-3700",
"fax_number": "719-998-9100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PISANO",
"first_name": "CHARLES",
"middle_name": "FREDNICK",
"name_prefix": "Mr.",
"credential": "OTL",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-08-11",
"last_updated": "2010-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NY",
"license": "011856-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.