Active NPI
Annie Kang
- Occupational Therapist
- Monsey, NY
National Provider Identifier
1164776910
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 015244
- Practice address
- 23 Robert Pitt Dr
Suite 110
Monsey, NY 10952-3373 - Phone
- (845) 625-2810
- NPI assigned
- Nov 1, 2012
- Last updated
- Nov 1, 2012
- Sex
- Female
- 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 | 015244 | NY | Primary |
Addresses
Primary practice location
23 Robert Pitt Dr
Suite 110
Monsey, NY 10952-3373
Mailing address
318 Arlington CT
Bardonia, NY 10954-1651
Phone (845) 625-2810
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 015244 | NY | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1351728000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1351728000000",
"number": "1164776910",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "318 ARLINGTON CT",
"city": "BARDONIA",
"state": "NY",
"postal_code": "109541651",
"telephone_number": "845-625-2810"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23 ROBERT PITT DR",
"address_2": "SUITE 110",
"city": "MONSEY",
"state": "NY",
"postal_code": "109523373",
"telephone_number": "845-625-2810"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KANG",
"first_name": "ANNIE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-11-01",
"last_updated": "2012-11-01",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NY",
"license": "015244",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Monsey, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.