Individual provider Active NPI

Aimee Lisset Palladino, OTR/L

  • Occupational Therapist
  • Brooklyn, NY
National Provider Identifier
1285035725
Registry record updated Mar 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
023443 Issued in NY
Practice address
4626 Beach 46TH St FL 2
Brooklyn, NY 11224-1004
Phone
(516) 690-5327
NPI assigned
Sep 15, 2014
Reactivated
Mar 27, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 28, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 008518-1 NY
Occupational Therapist 225X00000X 023443 NY Primary

Addresses

Primary practice location

4626 Beach 46TH St FL 2
Brooklyn, NY 11224-1004

Mailing address

4626 Beach 46TH St FL 1
Brooklyn, NY 11224-1004
Phone (516) 690-5327

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
008518-1NYMDHand Occupational Therapist
023443NYMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1410739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553731200000",
    "number": "1285035725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4626 BEACH 46TH ST FL 1",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112241004",
            "telephone_number": "516-690-5327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4626 BEACH 46TH ST FL 2",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112241004",
            "telephone_number": "516-690-5327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALLADINO",
        "first_name": "AIMEE",
        "middle_name": "LISSET",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-09-15",
        "last_updated": "2019-03-28",
        "deactivation_date": "2019-03-04",
        "reactivation_date": "2019-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "NY",
            "license": "008518-1",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "023443",
            "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 Mar 28, 2019; 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.