Michael Penhasov, OT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

021504-1 Issued in NY

Practice address

3003 Avenue X Apt 5F
Brooklyn, NY 11235-1246

Phone

(718) 759-8392

NPI assigned

May 18, 2017

Last updated

Sep 15, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

My Medical PCGroup PAC ID 0143610600, 93 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H3359
• Healthfirst Medicare Network H1722

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.

• My Medical PC

  • Family Medicine Physician
  • Valley Cottage, NY
  • NPI 1518637891

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Ahava Medical and Rehabilitation Center, LLC

  • Rehabilitation Practitioner
  • Brooklyn, NY
  • NPI 1184878274

  Single Specialty

  Medicare reassignment NPD
• Metro Physical Occupational Speech Massage Therapy & Acupuncture PLLC

  • Occupational Therapist
  • Garden City, NY
  • NPI 1356742365
  Medicare reassignment NPD
• Peyman Younesi MD PLLC

  • Internal Medicine Physician
  • Fresh Meadows, NY
  • NPI 1891053328

  Single Specialty

  Medicare reassignment NPD
• PT and OT for Senior Rehab at Home PLLC

  • Geriatric Physical Therapist
  • Brooklyn, NY
  • NPI 1811463003

  Single Specialty

  Medicare reassignment NPD
• Hands on OT PLLC

  • Occupational Therapist
  • Brooklyn, NY
  • NPI 1740768209
  Authorized official Same address or phone
• Mazal Physical Therapy P.C.

  • Physical Therapist
  • Brooklyn, NY
  • NPI 1568714384

  Single Specialty

  NPD

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

{
    "created_epoch": "1495065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663200000000",
    "number": "1336676527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3003 AVENUE X APT 5F",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112351246",
            "telephone_number": "718-759-8392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3003 AVENUE X APT 5F",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112351246",
            "telephone_number": "718-759-8392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENHASOV",
        "first_name": "MICHAEL",
        "credential": "OT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-05-18",
        "last_updated": "2022-09-15",
        "certification_date": "2022-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "0215041",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "021504-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE#",
            "identifier": "021504-1",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jinpeng Peng, MD
• Philip Peng
• Robert Peng, MD, MS
• Xing Peng, MD
• Peng's Medical, P.C.
• Fjolla Peni, DPT
• Penina Burnstein MD PLLC
• Peninsula Day Care Inc
• Herlande Penn Durandisse, FNP, PMHNP
• Chanah Penn

• Occupational Therapist in Brooklyn, NY
• Providers in Brooklyn, 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 Sep 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.