Individual provider Active NPI

Penina Bracha Heimowitz, OTA

  • Occupational Therapy Assistant
  • Brooklyn, NY
National Provider Identifier
1255883039
Registry record updated Oct 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
009123 Issued in NY
Practice address
1472 E 17TH St
Brooklyn, NY 11230-6704
Phone
(347) 893-9111
NPI assigned
Oct 27, 2016
Last updated
Oct 27, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 009123 NY Primary

Addresses

Primary practice location

1472 E 17TH St
Brooklyn, NY 11230-6704

Mailing address

1472 E 17TH St
Brooklyn, NY 11230-6704
Phone (347) 893-9111

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
009123NYMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1477526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477526400000",
    "number": "1255883039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1472 E 17TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112306704",
            "telephone_number": "347-893-9111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1472 E 17TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112306704",
            "telephone_number": "347-893-9111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEIMOWITZ",
        "first_name": "PENINA",
        "middle_name": "BRACHA",
        "credential": "OTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-27",
        "last_updated": "2016-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "NY",
            "license": "009123",
            "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 Oct 27, 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.