Organization Active NPI

Milner Svetlana Occupational Therapy PC

  • Occupational Therapy Assistant
  • Flushing, NY
National Provider Identifier
1154363356
Registry record updated Aug 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
Legal business name
MILNER SVETLANA OCCUPATIONAL THERAPY PC
Practice address
15611 Aguilar Ave
PR1
Flushing, NY 11367-2731
Phone
(718) 380-4750
NPI assigned
Jun 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2016

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

Authorized official

Name
Ms. Svetlana Milner, OTNPI 1386698819
Title
Owner
Phone
(718) 380-4750

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 224Z00000X Primary

Addresses

Primary practice location

15611 Aguilar Ave
PR1
Flushing, NY 11367-2731

Mailing address

15611 Aguilar Ave
PR1
Flushing, NY 11367-2732
Phone (718) 380-4750

Other identifiers 1

IdentifierTypeStateIssuer
02405549MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111216000513 NY Part B Supplier - Clinic/Group Practice 6507814209 Receives reassigned benefits from 1 practitioner
Practice locations: Brooklyn, NY; Flushing, NY

National Provider Directory

National Provider Directory

Locations

15611 Aguilar Ave
Ste 1020
Flushing, NY 11367
Phone (718) 380-4750

15611 Aguilar Ave
Ste PR1
Flushing, NY 11367
Phone (718) 380-4750

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470614400000",
    "number": "1154363356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15611 AGUILAR AVE",
            "address_2": "PR1",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113672732",
            "telephone_number": "718-380-4750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15611 AGUILAR AVE",
            "address_2": "PR1",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113672731",
            "telephone_number": "718-380-4750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILNER SVETLANA OCCUPATIONAL THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-12",
        "last_updated": "2016-08-08",
        "status": "A",
        "authorized_official_last_name": "MILNER",
        "authorized_official_first_name": "SVETLANA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-380-4750",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "OT"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapy Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02405549",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.