Pediatric Occupational Therapy of Ny, PC

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

License

009893-1 Issued in NY

Legal business name

PEDIATRIC OCCUPATIONAL THERAPY OF NY, PC

Practice address

14 Bond St Ste 426
Great Neck, NY 11021-2045

Phone

(917) 969-1004

Fax

(516) 626-1698

NPI assigned

Apr 22, 2013

Last updated

May 3, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Ralph Schrader, OTR/LNPI 1861645400

Title

President

Phone

(917) 969-1004

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, and the practitioner matching its NPPES authorized official.

• Ralph Wilhelm Schrader, OTR/L

  • Contractor
  • Hollis, NY
  • NPI 1861645400
  Authorized official Same address or phone

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

{
    "created_epoch": "1366588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367539200000",
    "number": "1306280383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 BOND ST STE 426",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110212045",
            "telephone_number": "917-969-1004",
            "fax_number": "516-626-1698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 BOND ST STE 426",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110212045",
            "telephone_number": "917-969-1004",
            "fax_number": "516-626-1698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC OCCUPATIONAL THERAPY OF NY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-22",
        "last_updated": "2013-05-03",
        "status": "A",
        "authorized_official_last_name": "SCHRADER",
        "authorized_official_first_name": "RALPH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "917-969-1004",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NY",
            "license": "009893-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Early Intervention Provider Agency in Great Neck, NY
• Providers in Great Neck, NY by specialty
• Early Intervention Provider Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2013; 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.