Active NPI
Myrna Capindo Urbasik, OTA
- Occupational Therapy Assistant
- Oswego, NY
National Provider Identifier
1205525441
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 007201-01
- Practice address
- 29 Birch LN Apt 21a
Oswego, NY 13126-4306 - Phone
- (315) 746-1256
- NPI assigned
- May 3, 2023
- 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 Therapy Assistant | 224Z00000X | 007201-01 | NY | Primary |
Addresses
Primary practice location
29 Birch LN Apt 21a
Oswego, NY 13126-4306
Mailing address
29 Birch LN Apt 21a
Oswego, NY 13126-4306
Phone (315) 746-1256
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
| License | State | Type | Specialty |
|---|---|---|---|
| 007201-01 | NY | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1683072000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1683072000000",
"number": "1205525441",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "29 BIRCH LN APT 21A",
"city": "OSWEGO",
"state": "NY",
"postal_code": "131264306",
"telephone_number": "315-746-1256"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "29 BIRCH LN APT 21A",
"city": "OSWEGO",
"state": "NY",
"postal_code": "131264306",
"telephone_number": "315-746-1256"
}
],
"practiceLocations": [],
"basic": {
"last_name": "URBASIK",
"first_name": "MYRNA",
"middle_name": "CAPINDO",
"credential": "OTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-05-03",
"last_updated": "2023-05-03",
"certification_date": "2023-05-03",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "NY",
"license": "007201-01",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oswego, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.