Organization Active NPI

Occupational Therapy and Social Work Associates, PLLC

  • Developmentally Disabled Services Day Training Agency
  • New York, NY
National Provider Identifier
1205110327
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
License
031254-1 Issued in NY
Legal business name
OCCUPATIONAL THERAPY AND SOCIAL WORK ASSOCIATES, PLLC
Practice address
353 E 78TH St
New York, NY 10075-1313
Phone
(212) 288-1450
NPI assigned
Oct 7, 2011
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Kimberly Sullivan, MSPT
Title
Owner
Phone
(212) 288-1450

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X 031254-1 NY Primary

Addresses

Primary practice location

353 E 78TH St
New York, NY 10075-1313

Mailing address

353 E 78TH St
New York, NY 10075-1313
Phone (212) 288-1450

Other practice location 1

251 E 77th St Lowr Level
New York, NY 10075-2045
Phone (212) 288-1450

National Provider Directory

National Provider Directory
Tax ID family
Occupational Therapy and Social Work Associates PLLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

353 E 78th St
New York, NY 10075
Phone (212) 288-1450

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1317945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1205110327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "353 E 78TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100751313",
            "telephone_number": "212-288-1450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "353 E 78TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100751313",
            "telephone_number": "212-288-1450"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "251 E 77th St Lowr Level",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100752045",
            "country_code": "US",
            "telephone_number": "212-288-1450",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "OCCUPATIONAL THERAPY AND SOCIAL WORK ASSOCIATES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-07",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "SULLIVAN",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "212-288-1450",
        "authorized_official_credential": "MSPT"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "NY",
            "license": "031254-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.