Madison Occupational Therapy Nyc PLLC

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Legal business name

MADISON OCCUPATIONAL THERAPY NYC PLLC

Practice address

8829 Fort Hamilton Pkwy Apt D01
Brooklyn, NY 11209-6013

Phone

(646) 379-7014

Fax

(212) 601-2671

NPI assigned

Dec 7, 2022

Organization subpart

No

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

Authorized official

Name

Miss Sally Atlan, OTNPI 1427402247

Title

Owner

Phone

(646) 379-7014

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Practitioners 1

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

• Sally Atlan, OT

  • Occupational Therapist
  • Brooklyn, NY
  • NPI 1427402247
  NPD Authorized official

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

{
    "created_epoch": "1670371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670371200000",
    "number": "1184335572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1539 E 13TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112307105",
            "telephone_number": "646-379-7014",
            "fax_number": "212-601-2671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8829 FORT HAMILTON PKWY APT D01",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112096013",
            "telephone_number": "646-379-7014",
            "fax_number": "212-601-2671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MADISON OCCUPATIONAL THERAPY NYC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-07",
        "last_updated": "2022-12-07",
        "certification_date": "2022-12-07",
        "status": "A",
        "authorized_official_last_name": "ATLAN",
        "authorized_official_first_name": "SALLY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "646-379-7014",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "OT"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "N/A",
            "identifier": "123456",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "HTTP",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "8829 Fort Hamilton Pkwy Apt D01",
            "city": "Brooklyn",
            "state": "NY",
            "country_code": "US",
            "postal_code": "112096013",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Occupational Therapist in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Occupational Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2022; 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.