Retro Occupational Therapy PC

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

018603 Issued in NY

Legal business name

RETRO OCCUPATIONAL THERAPY PC

Practice address

828 Newburg Ave
Valley Stream, NY 11581-3108

Phone

(917) 656-8238

NPI assigned

Jul 9, 2018

Organization subpart

No

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

Authorized official

Name

Leah Klein, OT

Title

Occupational Therapist

Phone

(917) 656-8238

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• George Fouad Antoun, PT, DPT

  • Physical Therapist
  • Brooklyn, NY
  • NPI 1003237165
  NPD (past)

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

{
    "created_epoch": "1531094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531094400000",
    "number": "1275029787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "828 NEWBURG AVE",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115813108",
            "telephone_number": "917-656-8238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "828 NEWBURG AVE",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115813108",
            "telephone_number": "917-656-8238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RETRO OCCUPATIONAL THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-09",
        "last_updated": "2018-07-09",
        "status": "A",
        "authorized_official_last_name": "KLEIN",
        "authorized_official_first_name": "LEAH",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "917-656-8238",
        "authorized_official_credential": "OT"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "018603",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marie Nirva Renelus
• Arnold Renois, MS
• Natalie Rentas, LCSW
• Michelle A. Renzi, RPA-C
• Restart Psychological Services PC
• Rex Medical PC (None)
• Rex Specialty Pharmacy Corp (Crescent Pharmacy)
• Rex Specialty Pharmacy Corp (Crescent Pharmacy)
• Rex Specialty Pharmacy Inc. (Crescent Pharmacy)
• Alicia Aurora Reyes

• Occupational Therapist in Valley Stream, NY
• Providers in Valley Stream, 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 Jul 9, 2018; 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.