Individual provider Active NPI

Andrea Star Levinger, OTR/L

  • Specialist
  • New York, NY
National Provider Identifier
1245468388
Registry record updated Jun 28, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
010162 Issued in NY
Practice address
390 1St Ave Apt 3E
New York, NY 10010-4938
Phone
(212) 677-7132
NPI assigned
Jun 28, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 010162 NY Primary

Addresses

Primary practice location

390 1St Ave Apt 3E
New York, NY 10010-4938

Mailing address

390 1St Ave Apt 3E
New York, NY 10010-4938
Phone (212) 677-7132

Other identifiers 1

IdentifierTypeStateIssuer
010162OtherNYNEW YORK STATE OCCUPATIONAL THERAPY LICENSE

Other names 1

  • Ms. Andrea Star Phelan Other name

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
010162NYMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1246147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1246147200000",
    "number": "1245468388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "390 1ST AVE APT 3E",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100104938",
            "telephone_number": "212-677-7132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "390 1ST AVE APT 3E",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100104938",
            "telephone_number": "212-677-7132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVINGER",
        "first_name": "ANDREA",
        "middle_name": "STAR",
        "name_prefix": "Ms.",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-28",
        "last_updated": "2009-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "010162",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEW YORK STATE OCCUPATIONAL THERAPY LICENSE",
            "identifier": "010162",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANDREA",
            "last_name": "PHELAN",
            "middle_name": "STAR",
            "prefix": "MS.",
            "credential": "OTR/L",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Jun 28, 2009; 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.