Organization Active NPI

Easy Living Occupational Therapy PC

  • Occupational Therapist
  • Brooklyn, NY
National Provider Identifier
1346626405
Registry record updated Jul 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
019568 Issued in NY
Legal business name
EASY LIVING OCCUPATIONAL THERAPY PC
Practice address
17 W End Ave
Brooklyn, NY 11235-4100
Phone
(718) 484-8198
NPI assigned
Jul 30, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2015

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

Authorized official

Name
Vladislav Beylik, OTR/L
Title
President
Phone
(718) 510-4114

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225X00000X 019568 NY Primary

Addresses

Primary practice location

17 W End Ave
Brooklyn, NY 11235-4100

Mailing address

17 W End Ave
Brooklyn, NY 11235-4100
Phone (718) 484-8198

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1438214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438214400000",
    "number": "1346626405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 W END AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112354100",
            "telephone_number": "718-484-8198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 W END AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112354100",
            "telephone_number": "718-484-8198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASY LIVING OCCUPATIONAL THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-30",
        "last_updated": "2015-07-30",
        "status": "A",
        "authorized_official_last_name": "BEYLIK",
        "authorized_official_first_name": "VLADISLAV",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-510-4114",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "019568",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2015; 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.