Organization Active NPI

Mighty Champs OT, PLLC

  • Occupational Therapist
  • New York, NY
National Provider Identifier
1275298572
Registry record updated Nov 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Legal business name
MIGHTY CHAMPS OT, PLLC
Practice address
140 W 79TH St Apt 1C
New York, NY 10024-6422
Phone
(405) 210-0831
NPI assigned
Nov 2, 2021
Last updated
Nov 2, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2021

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

Authorized official

Name
Neeha Patel, OTNPI 1285759522
Title
Owner
Phone
(405) 210-0831

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X Primary

Addresses

Primary practice location

140 W 79TH St Apt 1C
New York, NY 10024-6422

Mailing address

2921 Carlisle Blvd NE Ste 119
Albuquerque, NM 87110-2864
Phone (150) 553-9529

National Provider Directory

National Provider Directory

Locations

2921 Carlisle Blvd NE
Ste 119
Albuquerque, NM 87110
Phone (505) 539-5290

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1635811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635811200000",
    "number": "1275298572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2921 CARLISLE BLVD NE STE 119",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871102864",
            "telephone_number": "150-553-9529",
            "fax_number": "505-212-6368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 W 79TH ST APT 1C",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100246422",
            "telephone_number": "405-210-0831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIGHTY CHAMPS OT, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-02",
        "last_updated": "2021-11-02",
        "certification_date": "2021-11-02",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "NEEHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "405-210-0831",
        "authorized_official_credential": "OT"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2021; 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.