Individual provider Active NPI

Zahiana Nia Vongphachanh

  • Occupational Therapy Assistant
  • West Henrietta, NY
National Provider Identifier
1366253635
Registry record updated Jan 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
OT-2024-0208 Issued in NM
Practice address
211 E Path Rise
West Henrietta, NY 14586-8614
Phone
(585) 857-1484
NPI assigned
Jan 16, 2025
Last updated
Jan 17, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X OT-2024-0208 NM Primary

Addresses

Primary practice location

211 E Path Rise
West Henrietta, NY 14586-8614

Mailing address

211 E Path Rise
West Henrietta, NY 14586-8614
Phone (585) 857-1484

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

State licenses

LicenseStateTypeSpecialty
OT-2024-0208NMMDOccupational Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1736985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737072000000",
    "number": "1366253635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 E PATH RISE",
            "city": "WEST HENRIETTA",
            "state": "NY",
            "postal_code": "145868614",
            "telephone_number": "585-857-1484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 E PATH RISE",
            "city": "WEST HENRIETTA",
            "state": "NY",
            "postal_code": "145868614",
            "telephone_number": "585-857-1484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VONGPHACHANH",
        "first_name": "ZAHIANA",
        "middle_name": "NIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-01-16",
        "last_updated": "2025-01-17",
        "certification_date": "2025-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "NM",
            "license": "OT-2024-0208",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Henrietta, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2025; 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.