Active NPI
Sirozhidin Nurmatov, OTR/L
- Occupational Therapist
- Brooklyn, NY
National Provider Identifier
1295100857
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 020250
- Practice address
- 1642 63Rd St
Brooklyn, NY 11204-2744 - Phone
- (718) 234-5700
- NPI assigned
- Dec 8, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 020250 | NY | Primary |
Addresses
Primary practice location
1642 63Rd St
Brooklyn, NY 11204-2744
Mailing address
2400 Nostrand Ave Apt 220
Brooklyn, NY 11210-4032
Phone (347) 206-4328
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 351381 | Other | NY | NBCOT |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 020250 | NY | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sirozhidin Nurmatov OT PC | Occupational Therapist | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Occupational Therapist
- Brooklyn, NY
- NPI 1285125278
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1449532800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1449792000000",
"number": "1295100857",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2400 NOSTRAND AVE APT 220",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112104032",
"telephone_number": "347-206-4328"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1642 63RD ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112042744",
"telephone_number": "718-234-5700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NURMATOV",
"first_name": "SIROZHIDIN",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-12-08",
"last_updated": "2015-12-11",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NY",
"license": "020250",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NBCOT",
"identifier": "351381",
"state": "NY"
}
],
"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 Dec 11, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.