Stanley P Desgroseilliers, OTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

007541 Issued in NY

Practice address

74 Tier St
Bronx, NY 10464-1342

Phone

(718) 885-1312

NPI assigned

Jul 18, 2010

Last updated

Jul 18, 2010By 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 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1279411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279411200000",
    "number": "1336452457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "74 TIER ST",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104641342",
            "telephone_number": "718-885-1312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "74 TIER ST",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104641342",
            "telephone_number": "718-885-1312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESGROSEILLIERS",
        "first_name": "STANLEY",
        "middle_name": "P",
        "name_prefix": "Mr.",
        "credential": "OTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-07-18",
        "last_updated": "2010-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "NY",
            "license": "007541",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Designer Optical of Pelham

• Occupational Therapy Assistant in Bronx, NY
• Providers in Bronx, NY by specialty
• Occupational Therapy Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2010; 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.