Individual provider Active NPI

Aviva Michelle Graber, OTR/L

  • Pediatric Occupational Therapist
  • Woodmere, NY
National Provider Identifier
1326284118
Registry record updated Dec 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
012075 Issued in NY
Practice address
588 Church Ave
Woodmere, NY 11598-2732
Phone
(516) 239-4581
NPI assigned
Dec 28, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X 012075 NY Primary

Addresses

Primary practice location

588 Church Ave
Woodmere, NY 11598-2732

Mailing address

588 Church Ave
Woodmere, NY 11598-2732
Phone (516) 239-4581

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": "1230422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1230422400000",
    "number": "1326284118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "588 CHURCH AVE",
            "city": "WOODMERE",
            "state": "NY",
            "postal_code": "115982732",
            "telephone_number": "516-239-4581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "588 CHURCH AVE",
            "city": "WOODMERE",
            "state": "NY",
            "postal_code": "115982732",
            "telephone_number": "516-239-4581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRABER",
        "first_name": "AVIVA",
        "middle_name": "MICHELLE",
        "name_prefix": "Mrs.",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-12-28",
        "last_updated": "2008-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NY",
            "license": "012075",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodmere, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2008; 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.