Individual provider Active NPI

Brigitte Caridad Desport, D.P.S, OTR/L

  • Pediatric Occupational Therapist
  • New York, NY
National Provider Identifier
1235383720
Registry record updated Apr 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
009959-1 Issued in NY
Practice address
300 W 135TH St
2S
New York, NY 10030-2731
Phone
(917) 603-2385
Fax
(212) 368-1241
NPI assigned
Nov 10, 2008
Last updated
Apr 4, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 4, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X 009959-1 NY Primary

Addresses

Primary practice location

300 W 135TH St
2S
New York, NY 10030-2731

Mailing address

300 W 135TH St
2S
New York, NY 10030-2731
Phone (917) 603-2385

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

LicenseStateTypeSpecialty
009959-1NYMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Mind and Body Occupational Therapy, P.C. Pediatrics Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1226275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1333497600000",
    "number": "1235383720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 W 135TH ST",
            "address_2": "2S",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100302731",
            "telephone_number": "917-603-2385",
            "fax_number": "212-368-1241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 W 135TH ST",
            "address_2": "2S",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100302731",
            "telephone_number": "917-603-2385",
            "fax_number": "212-368-1241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESPORT",
        "first_name": "BRIGITTE",
        "middle_name": "CARIDAD",
        "name_prefix": "Dr.",
        "credential": "D.P.S, OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-11-10",
        "last_updated": "2012-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NY",
            "license": "009959-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2012; 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.