Individual provider Active NPI

Judy Fuhrer Avigdor, OTRL

  • Occupational Therapist
  • Flushing, NY
National Provider Identifier
1235324922
Registry record updated Sep 6, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
2137 Issued in NY
Practice address
68-68 Main Street
Flushing, NY 11367
Phone
(718) 793-5202
Fax
(718) 793-5207
NPI assigned
Sep 6, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 2137 NY Primary

Addresses

Primary practice location

68-68 Main Street
Flushing, NY 11367

Mailing address

68-68 Main Street
Flushing, NY 11367
Phone (718) 793-5202

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080616000163 NY Practitioner - Occupational Therapist in Private Practice 1052482213 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2137NYMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Elite Performance Physical Therapy PC CurrentSince Jun 1, 2017 Accepting new patients
Therapy for Kids,OT,PT,SLP,LLC Occupational Therapist PastSince Aug 24, 2007 Accepting new patients
Ats Rehab NJ LLC Occupational Therapist Past Accepting new patients

Locations

1325 Franklin Ave
Ste LL105
Garden City, NY 11530
Phone (516) 280-8811

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1189036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1189036800000",
    "number": "1235324922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "68-68 MAIN STREET",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "11367",
            "telephone_number": "718-793-5202",
            "fax_number": "718-793-5207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "68-68 MAIN STREET",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "11367",
            "telephone_number": "718-793-5202",
            "fax_number": "718-793-5207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUHRER AVIGDOR",
        "first_name": "JUDY",
        "credential": "OTRL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-06",
        "last_updated": "2007-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "2137",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2007; 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.

Verify at the official NPI Registry.