Individual provider Active NPI

Rochelle Gloria Green-Doctor, M.A., OTR

  • Pediatric Occupational Therapist
  • New York, NY
National Provider Identifier
1245471549
Registry record updated Mar 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
003187-1 Issued in NY
Practice address
227 W 29TH St
Suite 3R
New York, NY 10001-5210
Phone
(917) 544-0897
NPI assigned
Mar 16, 2009
Last updated
Mar 13, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 13, 2015

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 003187-1 NY Primary

Addresses

Primary practice location

227 W 29TH St
Suite 3R
New York, NY 10001-5210

Mailing address

227 W 29TH St
Suite 3R
New York, NY 10001-5210
Phone (917) 544-0897

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
003187-1NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Artistic Quality Therapy Associates Occupational and Massage Ther PLLC Current Accepting new patients
Aq Therapy Assoc. Current Accepting new patients

Locations

227 W 29th St
Rm 3R
New York, NY 10001
Phone (212) 736-8900

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": "1237161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426204800000",
    "number": "1245471549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "227 W 29TH ST",
            "address_2": "SUITE 3R",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100015210",
            "telephone_number": "917-544-0897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "227 W 29TH ST",
            "address_2": "SUITE 3R",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100015210",
            "telephone_number": "917-544-0897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN-DOCTOR",
        "first_name": "ROCHELLE",
        "middle_name": "GLORIA",
        "name_prefix": "Ms.",
        "credential": "M.A., OTR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-03-16",
        "last_updated": "2015-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NY",
            "license": "003187-1",
            "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 Mar 13, 2015; 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.