Organization Active NPI

MKN Occupational Therapy PLLC

  • Occupational Therapist
  • Jamaica, NY
National Provider Identifier
1225802358
Registry record updated Nov 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Legal business name
MKN OCCUPATIONAL THERAPY PLLC
Practice address
8273 164TH PL
Jamaica, NY 11432-1824
Phone
(646) 577-8008
NPI assigned
Nov 9, 2023
Last updated
Nov 9, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2023

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

Authorized official

Name
Mrs. Mazal Katanov-Nektalov, OTR-LNPI 1306358114
Title
Member
Phone
(646) 577-8008

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225X00000X Primary

Addresses

Primary practice location

8273 164TH PL
Jamaica, NY 11432-1824

Mailing address

8273 164TH PL
Jamaica, NY 11432-1824
Phone (646) 577-8008

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1699488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699488000000",
    "number": "1225802358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8273 164TH PL",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114321824",
            "telephone_number": "646-577-8008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8273 164TH PL",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114321824",
            "telephone_number": "646-577-8008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MKN OCCUPATIONAL THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-09",
        "last_updated": "2023-11-09",
        "certification_date": "2023-11-08",
        "status": "A",
        "authorized_official_last_name": "KATANOV-NEKTALOV",
        "authorized_official_first_name": "MAZAL",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "646-577-8008",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "OTR-L"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jamaica, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 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.

Verify at the official NPI Registry.