Active NPI
Robert J Flynn, MA OT
- Occupational Therapist
- New York, NY
National Provider Identifier
1376797696
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 004358-1
- Practice address
- 292 Madison Ave
New York, NY 10017-6307 - Phone
- (212) 420-0510
- NPI assigned
- Nov 13, 2008
- Sex
- Male
- Sole proprietor
- Yes
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 | 004358-1 | NY | Primary |
Addresses
Primary practice location
292 Madison Ave
New York, NY 10017-6307
Mailing address
7 Mount Pleasant LN
Irvington, NY 10533-1023
Phone (212) 420-0510
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 004358-1 | NY | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1226534400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1226534400000",
"number": "1376797696",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7 MOUNT PLEASANT LN",
"city": "IRVINGTON",
"state": "NY",
"postal_code": "105331023",
"telephone_number": "212-420-0510"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "292 MADISON AVE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100176307",
"telephone_number": "212-420-0510"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLYNN",
"first_name": "ROBERT",
"middle_name": "J",
"credential": "MA OT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-11-13",
"last_updated": "2008-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NY",
"license": "004358-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.