Queensboro Occupational Therapy P.C.

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

007678 Issued in NY

Legal business name

QUEENSBORO OCCUPATIONAL THERAPY P.C.

Practice address

11420 Rockaway Blvd
So Ozone Park, NY 11420

Phone

(718) 845-4616

Fax

(718) 845-1965

NPI assigned

Mar 9, 2007

Last updated

Jun 10, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Carlos Anibal Martins, OTRL CHTNPI 1053400838

Title

Otrl CHT

Phone

(516) 504-4263

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Carlos Anibal Martins, OTRIL CHT

  • Occupational Therapist
  • Great Neck, NY
  • NPI 1053400838
  Medicare reassignment NPD Authorized official
• Christian Bantigue, COTA

  • Occupational Therapy Assistant
  • Great Neck, NY
  • NPI 1245880293
  NPD (past)

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

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370822400000",
    "number": "1265564991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 NORTHERN BLVD",
            "address_2": "SUITE 308",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110214311",
            "telephone_number": "516-504-4263",
            "fax_number": "718-281-4263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11420 ROCKAWAY BLVD",
            "city": "SO OZONE PARK",
            "state": "NY",
            "postal_code": "11420",
            "telephone_number": "718-845-4616",
            "fax_number": "718-845-1965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUEENSBORO OCCUPATIONAL THERAPY P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-09",
        "last_updated": "2013-06-10",
        "status": "A",
        "authorized_official_last_name": "MARTINS",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_middle_name": "ANIBAL",
        "authorized_official_title_or_position": "OTRL CHT",
        "authorized_official_telephone_number": "516-504-4263",
        "authorized_official_credential": "OTRL CHT"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "007678",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey Allen Goldstein, DDS
• Jamil M. Abraham MD PC (Park Health Center)
• Jeffrey a & Mark Goldstein DDS PLLC
• George Mathew, MD
• Pain Relief Medical Therapy PC

• Occupational Therapist in So Ozone Park, NY
• Providers in So Ozone Park, 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 Jun 10, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.