Christian Bantigue, COTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

Practice address

107 Northern Blvd Ste 308
Great Neck, NY 11021-4309

Phone

(516) 504-4263

NPI assigned

Sep 11, 2019

Sex

Male

Sole proprietor

No

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)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Queensboro Occupational Therapy P.C.

  • Occupational Therapist
  • So Ozone Park, NY
  • NPI 1265564991
  NPD (past)

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

{
    "created_epoch": "1568160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568160000000",
    "number": "1245880293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6945 108TH ST APT 9E",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113753836",
            "telephone_number": "201-742-2836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 NORTHERN BLVD STE 308",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110214309",
            "telephone_number": "516-504-4263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANTIGUE",
        "first_name": "CHRISTIAN",
        "credential": "COTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-09-11",
        "last_updated": "2019-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charlotte Banilivy
• Orly Banilivy
• Carly A Bank
• Jonathan Bank, M.D.
• Ronald Bank, PHARMACIST
• Bryan Baracaldo, DPT
• Julianna Baratta
• Gregory Barber
• Debora Barchilon, MD
• Josephine Bardabelias, P.T.

• Occupational Therapy Assistant in Great Neck, NY
• Providers in Great Neck, NY by specialty
• Occupational Therapy Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2019; 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.