Fundamental Play Occupational Therapy P C

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

020599 Issued in NY

Legal business name

FUNDAMENTAL PLAY OCCUPATIONAL THERAPY P C

Practice address

6545 Parsons Blvd Apt 3J
Fresh Meadows, NY 11365-2419

Phone

(917) 499-1224

NPI assigned

Jan 31, 2018

Last updated

May 19, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mazol Davydova, OTR/LNPI 1932551306

Title

Occupational Therapy

Phone

(917) 499-1224

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mazol Davydova, OTR/L

  • Occupational Therapist
  • Brooklyn, NY
  • NPI 1932551306
  NPD Authorized official

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

{
    "created_epoch": "1517356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621382400000",
    "number": "1164920500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6545 PARSONS BLVD APT 3J",
            "city": "FRESH MEADOWS",
            "state": "NY",
            "postal_code": "113652419",
            "telephone_number": "917-499-1224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6545 PARSONS BLVD APT 3J",
            "city": "FRESH MEADOWS",
            "state": "NY",
            "postal_code": "113652419",
            "telephone_number": "917-499-1224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FUNDAMENTAL PLAY OCCUPATIONAL THERAPY P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-31",
        "last_updated": "2021-05-19",
        "certification_date": "2021-05-19",
        "status": "A",
        "authorized_official_last_name": "DAVYDOVA",
        "authorized_official_first_name": "MAZOL",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPY",
        "authorized_official_telephone_number": "917-499-1224",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NY",
            "license": "020599",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fresh Meds Pharmacy Inc.
• Suzanne J Friedler, MD
• Paolo Frlic, OTR
• Malvina Fulman, M.D.
• Function Builder LLC
• Michael Anthony Fusco, PA
• Natalie Fuzailov
• Natella Fuzaylova, PA
• Feliciano Gahoy, RN
• Vadim Feliksovich Galperin

• Pediatric Occupational Therapist in Fresh Meadows, NY
• Providers in Fresh Meadows, NY by specialty
• Pediatric Occupational Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2021; 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.