Organization Active NPI

Occupational Therapy for Productive Living, PC

  • Occupational Therapist
  • Valley Stream, NY
National Provider Identifier
1376731174
Registry record updated Jan 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
13891-1 Issued in NY
Legal business name
OCCUPATIONAL THERAPY FOR PRODUCTIVE LIVING, PC
Practice address
31 E Merrick Rd
Valley Stream, NY 11580-5814
Phone
(516) 612-4400
Fax
(516) 612-4399
NPI assigned
Oct 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2013

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

Authorized official

Name
Mrs. Marlene Barrett-RagkaswarNPI 1316068810
Title
Occupational Therapist/Director
Phone
(516) 612-4400

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225X00000X 13891-1 NY Primary

Addresses

Primary practice location

31 E Merrick Rd
Valley Stream, NY 11580-5814

Mailing address

31 E Merrick Rd
Valley Stream, NY 11580-5814
Phone (516) 612-4400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080311000023 NY Part B Supplier - Clinic/Group Practice 8325123763 Receives reassigned benefits from 1 practitioner
Practice locations: Valley Stream, NY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1191542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357689600000",
    "number": "1376731174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 E MERRICK RD",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115805814",
            "telephone_number": "516-612-4400",
            "fax_number": "516-612-4399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 E MERRICK RD",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115805814",
            "telephone_number": "516-612-4400",
            "fax_number": "516-612-4399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCCUPATIONAL THERAPY FOR PRODUCTIVE LIVING, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-05",
        "last_updated": "2013-01-09",
        "status": "A",
        "authorized_official_last_name": "BARRETT-RAGKASWAR",
        "authorized_official_first_name": "MARLENE",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST/DIRECTOR",
        "authorized_official_telephone_number": "516-612-4400",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "13891-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valley Stream, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2013; 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.