Takhalova Occupational Therapy PLLC

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Legal business name

TAKHALOVA OCCUPATIONAL THERAPY PLLC

Practice address

143 E Main St FL 1
Babylon, NY 11702-3524

Phone

(631) 661-3292

Fax

(212) 208-2499

NPI assigned

May 15, 2018

Organization subpart

No

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

Authorized official

Name

Inessa Sable

Title

Billing Administrator

Phone

(718) 333-1394

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1526342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1526342400000",
    "number": "1306336482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9949 66TH RD APT 2B",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113744431",
            "telephone_number": "631-661-3292",
            "fax_number": "212-208-2499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "143 E MAIN ST FL 1",
            "city": "BABYLON",
            "state": "NY",
            "postal_code": "117023524",
            "telephone_number": "631-661-3292",
            "fax_number": "212-208-2499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAKHALOVA OCCUPATIONAL THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-15",
        "last_updated": "2018-05-15",
        "status": "A",
        "authorized_official_last_name": "SABLE",
        "authorized_official_first_name": "INESSA",
        "authorized_official_title_or_position": "BILLING ADMINISTRATOR",
        "authorized_official_telephone_number": "718-333-1394"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amelia Stuto Stuto
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• Jill H Swensen, PH.D.,L.M.H.C.
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• Rocco Tedesco, DDS
• Jennifer Temple, RN

• Occupational Therapist in Babylon, NY
• Providers in Babylon, NY by specialty
• Occupational Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2018; 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.