Individual provider Active NPI

Brian Forur, OTR/L

  • Occupational Therapist
  • Kingston, NY
National Provider Identifier
1376272542
Registry record updated Feb 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
025258 Issued in NY
Practice address
71 Lindsley Ave
Kingston, NY 12401-3315
Phone
(631) 742-0878
NPI assigned
Jun 6, 2022
Last updated
Feb 27, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 27, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X EL31279 NH
Occupational Therapist 225X00000X 025258 NY Primary

Addresses

Primary practice location

71 Lindsley Ave
Kingston, NY 12401-3315

Mailing address

71 Lindsley Ave # B
Kingston, NY 12401-3315
Phone (631) 742-0878

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
EL31279NHMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Core Therapy Services PT OT PLLC Occupational Therapist CurrentSince Jun 1, 2022 Accepting new patients
PT and OT for Senior Rehab at Home PLLC CurrentSince Feb 1, 2025 Accepting new patients

Locations

171 Kings Hwy
Brooklyn, NY 11223
Phone (877) 722-7700

2003 Coney Island Ave
Brooklyn, NY 11223
Phone (347) 394-1600

8008 45th Ave
Ofc
Elmhurst, NY 11373

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.

NPI Registry JSON

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

{
    "created_epoch": "1654473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740614400000",
    "number": "1376272542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "71 LINDSLEY AVE # B",
            "city": "KINGSTON",
            "state": "NY",
            "postal_code": "124013315",
            "telephone_number": "631-742-0878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "71 LINDSLEY AVE",
            "city": "KINGSTON",
            "state": "NY",
            "postal_code": "124013315",
            "telephone_number": "631-742-0878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORUR",
        "first_name": "BRIAN",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-06-06",
        "last_updated": "2025-02-27",
        "certification_date": "2025-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NH",
            "license": "EL31279",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "025258",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingston, NY

Sources for this page

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