Active NPI
Douglas James Whitty Jr., OTR/L
- Occupational Therapist
- Brooklyn, NY
National Provider Identifier
1356050611
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 027252
- Practice address
- 330 9TH St Apt 2
Brooklyn, NY 11215-4026 - Phone
- (171) 843-5312
- NPI assigned
- Nov 15, 2022
- Last updated
- Nov 15, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 027252 | NY | Primary |
Addresses
Primary practice location
330 9TH St Apt 2
Brooklyn, NY 11215-4026
Mailing address
357 Cortelyou Ave
Staten Island, NY 10312-2404
Phone (718) 213-0730
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 027252 | Other | NY | NYS EDUCATION DEPARTMENT |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | EMR | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
330 9TH St
Apt 2
Brooklyn, NY 11215-4026
Phone (718) 369-4263
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Empire State Occupational Therapy PC | Occupational Therapist | Past | Accepting new patients |
Organizations & group practices 2
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.
-
dba New York Hand Therapy
- Hand Occupational Therapist
- Brooklyn, NY
- NPI 1356827919
-
- Occupational Therapist
- Brooklyn, NY
- NPI 1518026756
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1668470400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1668470400000",
"number": "1356050611",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "357 CORTELYOU AVE",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103122404",
"telephone_number": "718-213-0730"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "330 9TH ST APT 2",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112154026",
"telephone_number": "171-843-5312"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITTY",
"first_name": "DOUGLAS",
"middle_name": "JAMES",
"name_suffix": "Jr.",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-11-15",
"last_updated": "2022-11-15",
"certification_date": "2022-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NY",
"license": "027252",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NYS EDUCATION DEPARTMENT",
"identifier": "027252",
"state": "NY"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "EMR",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "330 9th St Apt 2",
"city": "Brooklyn",
"state": "NY",
"country_code": "US",
"postal_code": "112154026",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Nov 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.