Active NPI
Manijeh Mohammadian
- Physical Rehabilitation Occupational Therapist
- Great Neck, NY
National Provider Identifier
1144180720
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Rehabilitation Occupational Therapist
- License
- 011768
- Practice address
- 804 Middle Neck Rd Apt 3F
Great Neck, NY 11024-1911 - Phone
- (646) 730-8883
- NPI assigned
- Nov 14, 2025
- 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 |
|---|---|---|---|---|
| Physical Rehabilitation Occupational Therapist | 225XP0019X | 011768 | NY | Primary |
Addresses
Primary practice location
804 Middle Neck Rd Apt 3F
Great Neck, NY 11024-1911
Mailing address
804 Middle Neck Rd Apt 3F
Great Neck, NY 11024-1911
Phone (646) 730-8883
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1763078400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1763078400000",
"number": "1144180720",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "804 MIDDLE NECK RD APT 3F",
"city": "GREAT NECK",
"state": "NY",
"postal_code": "110241911",
"telephone_number": "646-730-8883"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "804 MIDDLE NECK RD APT 3F",
"city": "GREAT NECK",
"state": "NY",
"postal_code": "110241911",
"telephone_number": "646-730-8883"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOHAMMADIAN",
"first_name": "MANIJEH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-11-14",
"last_updated": "2025-11-14",
"certification_date": "2025-11-14",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0019X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Physical Rehabilitation",
"state": "NY",
"license": "011768",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Great Neck, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.