Active NPI
Eunice Brathwaite, OT
- Occupational Therapist
- Brooklyn, NY
National Provider Identifier
1316430093
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 022582-1
- Practice address
- 2955 Brighton 4TH St
Ground Floor, Right Door
Brooklyn, NY 11235 - Phone
- (718) 509-4909
- Fax
- (718) 509-4910
- NPI assigned
- Jun 7, 2018
- Last updated
- Jun 7, 2018
- Sex
- Female
- 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 | 022582-1 | NY | Primary |
Addresses
Primary practice location
2955 Brighton 4TH St
Ground Floor, Right Door
Brooklyn, NY 11235
Mailing address
2955 Brighton 4TH St
Ground Floor, Right Door
Brooklyn, NY 11235
Phone (718) 509-4909
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
| License | State | Type | Specialty |
|---|---|---|---|
| 022582-1 | NY | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1528329600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1528329600000",
"number": "1316430093",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2955 BRIGHTON 4TH ST",
"address_2": "GROUND FLOOR, RIGHT DOOR",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "11235",
"telephone_number": "718-509-4909",
"fax_number": "718-509-4910"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2955 BRIGHTON 4TH ST",
"address_2": "GROUND FLOOR, RIGHT DOOR",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "11235",
"telephone_number": "718-509-4909",
"fax_number": "718-509-4910"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRATHWAITE",
"first_name": "EUNICE",
"credential": "OT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-06-07",
"last_updated": "2018-06-07",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NY",
"license": "022582-1",
"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 Jun 7, 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.