Eddie Chu, OTD, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

20052 Issued in CA

Practice address

7814 Roosevelt Ave Ste 2
Jackson Heights, NY 11372-6646

Phone

(212) 495-9799

NPI assigned

Dec 20, 2019

Last updated

Mar 10, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Vortex Occupational Therapy Services PLLC

  • Home Health Agency
  • Little Neck, NY
  • NPI 1548028939
  NPD Authorized official

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

{
    "created_epoch": "1576800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710028800000",
    "number": "1316585318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 CARR DR APT 206",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912051547",
            "telephone_number": "212-495-9799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7814 ROOSEVELT AVE STE 2",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113726646",
            "telephone_number": "212-495-9799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHU",
        "first_name": "EDDIE",
        "name_prefix": "Dr.",
        "credential": "OTD, OTR/L",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-12-20",
        "last_updated": "2024-03-10",
        "certification_date": "2024-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "023809",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "20052",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shammi Choudhury, P.A
• Mohammed Shafiqulhaque Chowdhury, MD
• Moksudul Hoque Chowdhury
• Rafiqur Rahman Chowdhury, M.D.,
• Riya Zaman Chowdhury, PHARMD
• Veena Chugh
• City Medical of Upper East Side, PLLC (CityMD Urgent Care)
• City of New York Office of Payroll Administration
• Citypharma Inc (MedRite Pharmacy)
• Clear Vision Ophthalmology PLLC

• Occupational Therapist in Jackson Heights, NY
• Providers in Jackson Heights, 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 Mar 10, 2024; 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.