Active NPI
Taylor Ann Zaccheo, OT
- Occupational Therapist
- Brooklyn, NY
National Provider Identifier
1205322989
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 022637
- Practice address
- 4013 Avenue U
Brooklyn, NY 11234 - Phone
- (718) 692-4100
- NPI assigned
- Jul 6, 2018
- Sex
- Female
- Sole proprietor
- No
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 | 022637 | NY | Primary |
Addresses
Primary practice location
4013 Avenue U
Brooklyn, NY 11234
Mailing address
215 Seidman Ave
Staten Island, NY 10312-5529
Phone (718) 916-5027
Other names 1
- Miss Taylor Ann Fazio
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 022637 | NY | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| RB Physical and Occupational Therapy PLLC | Occupational Therapist | Current | Accepting new patients |
| One on One Physical Therapy Services PLLC | Past | Accepting new patients |
Locations
981 US Highway 22
Fl 2
Bridgewater, NJ 08807
Phone (908) 231-0511
4013 Avenue U
Brooklyn, NY 11234
Phone (718) 692-0949
1 Hanson Pl
Ste 401
Brooklyn, NY 11243
Phone (718) 230-0631
Organizations & group practices 2
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.
-
- Physical Therapist
- Brooklyn, NY
- NPI 1790013282
Occupational Therapist
-
- Physical Therapist
- Brooklyn, NY
- NPI 1740423219
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1530835200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1725926400000",
"number": "1205322989",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "215 SEIDMAN AVE",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103125529",
"telephone_number": "718-916-5027"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4013 AVENUE U",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "11234",
"telephone_number": "718-692-4100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZACCHEO",
"first_name": "TAYLOR",
"middle_name": "ANN",
"name_prefix": "Mrs.",
"credential": "OT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-07-06",
"last_updated": "2024-09-10",
"certification_date": "2024-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NY",
"license": "022637",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "TAYLOR",
"last_name": "FAZIO",
"middle_name": "ANN",
"prefix": "MISS",
"credential": "OT",
"code": "1",
"type": "Former Name"
}
]
}
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 Sep 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.