Individual provider Active NPI

Lina Zhitnik, OTR

  • Occupational Therapist
  • Brooklyn, NY
National Provider Identifier
1154474088
Registry record updated Jul 9, 2007
On this page

OIG exclusion record

The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:

  • Section 1128a(1) exclusion effective Jan 20, 2021.

Matched on NPI only. Confirm current status with the OIG exclusions search before relying on it.

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
012594 Issued in NY
Practice address
2610 E 18TH St
Suite 4
Brooklyn, NY 11235-3622
Phone
(718) 332-0080
Fax
(718) 332-3365
NPI assigned
Jan 22, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X 012594 NY Primary

Addresses

Primary practice location

2610 E 18TH St
Suite 4
Brooklyn, NY 11235-3622

Mailing address

2424 E 22ND St
Brooklyn, NY 11235-2502
Phone (718) 332-0080

Other identifiers 1

IdentifierTypeStateIssuer
02669309MedicaidNY

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
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
012594NYMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1154474088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2424 E 22ND ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112352502",
            "telephone_number": "718-332-0080",
            "fax_number": "718-332-3365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2610 E 18TH ST",
            "address_2": "SUITE 4",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112353622",
            "telephone_number": "718-332-0080",
            "fax_number": "718-332-3365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZHITNIK",
        "first_name": "LINA",
        "credential": "OTR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-22",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "012594",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02669309",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.