Alison Ebert

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

026176 Issued in NY

Practice address

475 Northern Blvd
Great Neck, NY 11021-4819

Phone

(718) 843-1333

NPI assigned

Nov 1, 2021

Last updated

Jul 17, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1635724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689552000000",
    "number": "1134884604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "614 LAFAYETTE AVE APT 2",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112165548",
            "telephone_number": "347-415-0044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "475 NORTHERN BLVD",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110214819",
            "telephone_number": "718-843-1333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EBERT",
        "first_name": "ALISON",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-01",
        "last_updated": "2023-07-17",
        "certification_date": "2023-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WA",
            "license": "61434973",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "026176",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dwight de Risi, M.D. Facs P.C.
• Julia Nicole Dwyer, DPT
• Agnieszka M. Dynda, PSY.D.
• Ewa D Dynda, M.A., CCC/SLP
• E & I Associates, Inc.
• Marvin Ebert, DO
• Ebrahim Sadighim MD PC
• Martin Peter Edelstein, MD
• Edward G & Matthew P Kaufman DDS PC
• Edward L. Mills, M.D., P.C.

• Occupational Therapist in Great Neck, NY
• Providers in Great Neck, 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 Jul 17, 2023; 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.