NPIMap

Organization Active NPI

Fit Life Occupational Therapy P.C.

  • Occupational Therapist
  • Brooklyn, NY
National Provider Identifier
1235538943
Registry record updated May 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
016734 Issued in NY
Legal business name
FIT LIFE OCCUPATIONAL THERAPY P.C.
Practice address
2928 W 5TH St
Apt 21M
Brooklyn, NY 11224-3902
Phone
(718) 414-5838
NPI assigned
Aug 19, 2014
Last updated
May 17, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 17, 2016

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

Authorized official

Name
Inga Balanovsky, OTNPI 1104066281
Title
Owner
Phone
(718) 414-5838

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225X00000X 016734 NY Primary

Addresses

Primary practice location

2928 W 5TH St
Apt 21M
Brooklyn, NY 11224-3902

Mailing address

2928 W 5TH St
Apt 21M
Brooklyn, NY 11224-3902
Phone (718) 414-5838

National Provider Directory

National Provider Directory

Locations

2928 W 5th St
Apt 21M
Brooklyn, NY 11224
Phone (718) 414-5838

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": "1408406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463443200000",
    "number": "1235538943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2928 W 5TH ST",
            "address_2": "APT 21M",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112243902",
            "telephone_number": "718-414-5838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2928 W 5TH ST",
            "address_2": "APT 21M",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112243902",
            "telephone_number": "718-414-5838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIT LIFE OCCUPATIONAL THERAPY P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-19",
        "last_updated": "2016-05-17",
        "status": "A",
        "authorized_official_last_name": "BALANOVSKY",
        "authorized_official_first_name": "INGA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-414-5838",
        "authorized_official_credential": "OT"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "016734",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2016; 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.