Individual provider Active NPI

Paola G Chang, OTR/L

  • Occupational Therapist
  • Brooklyn, NY
National Provider Identifier
1184443152
Registry record updated Oct 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
023463 Issued in NY
Practice address
211 McGuinness Blvd Apt 226
Brooklyn, NY 11222-6789
Phone
(909) 630-1142
NPI assigned
Oct 7, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 7, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 023463 NY Primary

Addresses

Primary practice location

211 McGuinness Blvd Apt 226
Brooklyn, NY 11222-6789

Mailing address

211 McGuinness Blvd Apt 226
Brooklyn, NY 11222-6789
Phone (909) 630-1142

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

Practice roles

OrganizationSpecialtyStatusNew patients
JH Therapy Services Occupational Therapist CurrentSince Dec 1, 2024 Accepting new patients
JH Therapy Services Occupational Therapist CurrentSince Dec 1, 2024 Accepting new patients
Lifetime Redesign OT, PLLC CurrentSince Dec 1, 2024 Accepting new patients

Locations

80 State St
Albany, NY 12207
Phone (415) 742-8411

228 Park Ave S
New York, NY 10003
Phone (215) 588-2144

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1728259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728259200000",
    "number": "1184443152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 MCGUINNESS BLVD APT 226",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112226789",
            "telephone_number": "909-630-1142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 MCGUINNESS BLVD APT 226",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112226789",
            "telephone_number": "909-630-1142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANG",
        "first_name": "PAOLA",
        "middle_name": "G",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-10-07",
        "last_updated": "2024-10-07",
        "certification_date": "2024-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "023463",
            "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 Oct 7, 2024; 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.