Active NPI
Bianca Bockhaus, OTR/L
- Occupational Therapist
- Purchase, NY
National Provider Identifier
1194426577
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 027647
- Practice address
- 3030 Westchester Ave
Purchase, NY 10577-2574 - Phone
- (914) 682-6435
- Fax
- (914) 681-3115
- NPI assigned
- Mar 13, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 027647 | NY | Primary |
Addresses
Primary practice location
3030 Westchester Ave
Purchase, NY 10577-2574
Mailing address
1345 Avenue of the Americas FL 8
New York, NY 10105-0018
Phone (908) 588-3635
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 027647 | NY | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1678665600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1709510400000",
"number": "1194426577",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1345 AVENUE OF THE AMERICAS FL 8",
"city": "NEW YORK",
"state": "NY",
"postal_code": "101050018",
"telephone_number": "908-588-3635"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3030 WESTCHESTER AVE",
"city": "PURCHASE",
"state": "NY",
"postal_code": "105772574",
"telephone_number": "914-682-6435",
"fax_number": "914-681-3115"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOCKHAUS",
"first_name": "BIANCA",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-03-13",
"last_updated": "2024-03-04",
"certification_date": "2024-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NY",
"license": "027647",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Purchase, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 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.