Individual provider Active NPI

Olga Yushuvayeva, OTR/L

  • Pediatric Occupational Therapist
  • Rego Park, NY
National Provider Identifier
1356005193
Registry record updated Oct 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
026027 Issued in NY
Practice address
9810 64TH Ave Apt 7C
Rego Park, NY 11374-2503
Phone
(646) 388-4681
NPI assigned
Oct 27, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 27, 2021

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 026027 NY Primary

Addresses

Primary practice location

9810 64TH Ave Apt 7C
Rego Park, NY 11374-2503

Mailing address

9810 64TH Ave Apt 7C
Rego Park, NY 11374-2503
Phone (646) 388-4681

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": "1635292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635292800000",
    "number": "1356005193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9810 64TH AVE APT 7C",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113742503",
            "telephone_number": "646-388-4681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9810 64TH AVE APT 7C",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113742503",
            "telephone_number": "646-388-4681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YUSHUVAYEVA",
        "first_name": "OLGA",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-27",
        "last_updated": "2021-10-27",
        "certification_date": "2021-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NY",
            "license": "026027",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rego Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2021; 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.