Chanel T. Delisser, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

021433 Issued in NY

Practice address

370 Marcy Ave
Brooklyn, NY 11206-4814

Phone

(718) 388-4800

NPI assigned

Jun 22, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1498089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1498089600000",
    "number": "1225558117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 LENOX RD APT 4M",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112262259",
            "telephone_number": "917-635-4610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "370 MARCY AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112064814",
            "telephone_number": "718-388-4800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELISSER",
        "first_name": "CHANEL",
        "middle_name": "T.",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-22",
        "last_updated": "2017-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "021433",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathrina Demecillo Delima, DMD
• Wendy Delimeta
• Cathiana Delisca
• Samantha Y Delisca
• Thainah Delisca
• Keyana B Delisser
• Evelyn Deliz, PA-C
• Alexis Delk
• Yana Delkhah, MD
• Rebecca Dell'Aglio, PH.D.

• Occupational Therapist in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Occupational Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2017; 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.