Organization Active NPI

Great Health Occupational Therapy PC

  • Occupational Therapist
  • Brooklyn, NY
National Provider Identifier
1174898712
Registry record updated Apr 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
015491 Issued in NY
Legal business name
GREAT HEALTH OCCUPATIONAL THERAPY PC
Practice address
1353 Utica Ave
Brooklyn, NY 11203-6615
Phone
(718) 576-6565
NPI assigned
Mar 15, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2012

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

Authorized official

Name
Anna Nekhanevich, PT
Title
Persident
Phone
(718) 576-6565

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225X00000X 015491 NY Primary

Addresses

Primary practice location

1353 Utica Ave
Brooklyn, NY 11203-6615

Mailing address

1411 Avenue V
3K
Brooklyn, NY 11229-6209

National Provider Directory

National Provider Directory

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": "1331769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335225600000",
    "number": "1174898712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1411 AVENUE V",
            "address_2": "3K",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112296209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1353 UTICA AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112036615",
            "telephone_number": "718-576-6565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREAT HEALTH OCCUPATIONAL THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-15",
        "last_updated": "2012-04-24",
        "status": "A",
        "authorized_official_last_name": "NEKHANEVICH",
        "authorized_official_first_name": "ANNA",
        "authorized_official_title_or_position": "PERSIDENT",
        "authorized_official_telephone_number": "718-576-6565",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "015491",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 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.

Verify at the official NPI Registry.