Individual provider Active NPI

Sorah Tamir, COTA

  • Occupational Therapy Assistant
  • Far Rockaway, NY
National Provider Identifier
1194222661
Registry record updated Apr 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
009670 Issued in NY
Practice address
1315 Caffrey Ave
Far Rockaway, NY 11691-5112
Phone
(917) 670-6157
Fax
(917) 670-6157
NPI assigned
Apr 10, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 009670 NY Primary

Addresses

Primary practice location

1315 Caffrey Ave
Far Rockaway, NY 11691-5112

Mailing address

1315 Caffrey Ave
Far Rockaway, NY 11691-5112
Phone (917) 670-6157

Other names 1

  • Sorah Wielgus Former name

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
009670NYMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1523318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523318400000",
    "number": "1194222661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1315 CAFFREY AVE",
            "city": "FAR ROCKAWAY",
            "state": "NY",
            "postal_code": "116915112",
            "telephone_number": "917-670-6157",
            "fax_number": "917-670-6157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1315 CAFFREY AVE",
            "city": "FAR ROCKAWAY",
            "state": "NY",
            "postal_code": "116915112",
            "telephone_number": "917-670-6157",
            "fax_number": "917-670-6157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAMIR",
        "first_name": "SORAH",
        "name_prefix": "Mrs.",
        "credential": "COTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-10",
        "last_updated": "2018-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "NY",
            "license": "009670",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SORAH",
            "last_name": "WIELGUS",
            "credential": "COTA-L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Far Rockaway, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2018; 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.