Khatra Popalzai, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

63 016467 Issued in NY

Practice address

1866 E 17TH St
Brooklyn, NY 11229-2913

Phone

(718) 376-8494

NPI assigned

Mar 20, 2012

Last updated

Mar 20, 2012By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Outreach Physical and Occupational Therapy & Speech Rehabilitation, PLLC

  • Physical Therapist
  • Great Neck, NY
  • NPI 1841526399
  NPD (past)

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

{
    "created_epoch": "1332201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332201600000",
    "number": "1245505510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 HARFORD DR",
            "city": "CORAM",
            "state": "NY",
            "postal_code": "117272909",
            "telephone_number": "631-327-1818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1866 E 17TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112292913",
            "telephone_number": "718-376-8494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POPALZAI",
        "first_name": "KHATRA",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-03-20",
        "last_updated": "2012-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "63 016467",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laurentiu Codrut Popa, MD
• Nechama D Popack, MSED, BCBA, BCBA
• Nena Popack
• Catherine Ann Popadiuk, DO
• Sudaba Popal
• Sabrina Popatia, MD MPH
• Stacey Pope
• Zachary Matthew Pope, MD, MPH
• Phyllis Popel, MSW
• Chaim Poper, DO

• Occupational Therapist in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Occupational Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 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.