Individual provider Active NPI

Ma Carmina Santos Encarnado, OTR/L

  • Occupational Therapist
  • Elmhurst, NY
National Provider Identifier
1316442106
Registry record updated Mar 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
019573 Issued in NY
Practice address
4066 Ithaca St Apt 6a
Elmhurst, NY 11373-1464
Phone
(646) 678-9451
NPI assigned
Mar 26, 2018
Last updated
Mar 26, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 26, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 019573 NY Primary

Addresses

Primary practice location

4066 Ithaca St Apt 6a
Elmhurst, NY 11373-1464

Mailing address

4066 Ithaca St Apt 6a
Elmhurst, NY 11373-1464
Phone (646) 678-9451

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

NPI Registry JSON

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

{
    "created_epoch": "1522022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522022400000",
    "number": "1316442106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4066 ITHACA ST APT 6A",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113731464",
            "telephone_number": "646-678-9451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4066 ITHACA ST APT 6A",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113731464",
            "telephone_number": "646-678-9451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENCARNADO",
        "first_name": "MA CARMINA",
        "middle_name": "SANTOS",
        "name_prefix": "Ms.",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-03-26",
        "last_updated": "2018-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "019573",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elmhurst, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 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.