Organization Active NPI

Apple Blossom Occupational Therapy Services PLLC.

  • Developmental Disabilities Clinic/Center
  • New York, NY
National Provider Identifier
1275953317
Registry record updated Apr 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmental Disabilities Clinic/CenterTaxonomy code 261QD1600X
License
010190 Issued in NY
Legal business name
APPLE BLOSSOM OCCUPATIONAL THERAPY SERVICES PLLC.
Practice address
139 E 33Rd St
Apt 15D
New York, NY 10016-5338
Phone
(347) 210-2963
Fax
(917) 508-4856
NPI assigned
Apr 16, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2014

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

Authorized official

Name
Ms. Vaishali Prakash Khandare, OTR/L
Title
Director
Phone
(347) 210-2963

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Developmental Disabilities Clinic/Center 261QD1600X 010190 NY Primary
Comprehensive Outpatient Rehabilitation Facility (CORF) 261QR0401X 010190 NY

Addresses

Primary practice location

139 E 33Rd St
Apt 15D
New York, NY 10016-5338

Mailing address

210 E 86TH St
Suite 202
New York, NY 10028-3003
Phone (347) 210-2963

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1397606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397606400000",
    "number": "1275953317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 E 86TH ST",
            "address_2": "SUITE 202",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100283003",
            "telephone_number": "347-210-2963",
            "fax_number": "917-508-4856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "139 E 33RD ST",
            "address_2": "APT 15D",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100165338",
            "telephone_number": "347-210-2963",
            "fax_number": "917-508-4856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APPLE BLOSSOM OCCUPATIONAL THERAPY SERVICES PLLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-16",
        "last_updated": "2014-04-16",
        "status": "A",
        "authorized_official_last_name": "KHANDARE",
        "authorized_official_first_name": "VAISHALI",
        "authorized_official_middle_name": "PRAKASH",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "347-210-2963",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": "NY",
            "license": "010190",
            "primary": true
        },
        {
            "code": "261QR0401X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
            "state": "NY",
            "license": "010190",
            "primary": false
        }
    ],
    "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 Apr 16, 2014; 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.