High Impact Occupational Therapy PC

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

019190 Issued in NY

Legal business name

HIGH IMPACT OCCUPATIONAL THERAPY PC

Practice address

93 Abingdon Ave
Staten Island, NY 10308-2202

Phone

(347) 733-1774

NPI assigned

Nov 19, 2014

Organization subpart

No

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

Authorized official

Name

Vyacheslav Glukh, OTR/LNPI 1447689179

Title

Owner

Phone

(347) 733-1774

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Vyacheslav Glukh

  • Single Specialty Group
  • Staten Island, NY
  • NPI 1447689179
  Medicare reassignment Care Compare group NPD Authorized official
• Dmitry Shevchenko, OTR/L

  • Occupational Therapist
  • Brooklyn, NY
  • NPI 1578974473
  Medicare reassignment Care Compare group NPD
• Nelli Bardanova

  • Occupational Therapist
  • Middle Village, NY
  • NPI 1740694587
  Medicare reassignment NPD
• Irina Kushnirskaya, OTR/L

  • Occupational Therapist
  • Staten Island, NY
  • NPI 1003118985
  Medicare reassignment NPD
• Alejandra Montejo

  • Occupational Therapist
  • New York, NY
  • NPI 1376091835
  Medicare reassignment NPD

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

{
    "created_epoch": "1416355200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478736000000",
    "number": "1346647385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "93 ABINGDON AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103082202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "93 ABINGDON AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103082202",
            "telephone_number": "347-733-1774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIGH IMPACT OCCUPATIONAL THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-19",
        "last_updated": "2016-11-10",
        "status": "A",
        "authorized_official_last_name": "GLUKH",
        "authorized_official_first_name": "VYACHESLAV",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "347-733-1774",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "019190",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angelise Hicks
• Autumn Natasha Hicks
• Raymond Hicks
• Kathryn Rose Higginbotham
• Katelyn Higgins, 0TR/L
• Holly Hilbrandt
• Katherine Harriet Hiler, CF
• Cheyanne Hill, LPN
• Corey Hill
• Jermaine K Hill, LMSW

• Occupational Therapist in Staten Island, NY
• Providers in Staten Island, 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 Nov 10, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.