Active NPI
Marta Elena Bull, O.T.
- Occupational Therapist
- Brooklyn, NY
National Provider Identifier
1376855528
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 011651
- Practice address
- 2601 Ocean Pkwy
Room 3N5
Brooklyn, NY 11235-7745 - Phone
- (718) 616-3961
- NPI assigned
- Jul 4, 2010
- Sex
- Female
- 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 | 011651 | NY | Primary |
Addresses
Primary practice location
2601 Ocean Pkwy
Room 3N5
Brooklyn, NY 11235-7745
Mailing address
1087 Union St
Apt. A3
Brooklyn, NY 11225-1291
Phone (718) 735-5807
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
| License | State | Type | Specialty |
|---|---|---|---|
| 011651 | NY | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1278201600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1278201600000",
"number": "1376855528",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1087 UNION ST",
"address_2": "APT. A3",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112251291",
"telephone_number": "718-735-5807"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2601 OCEAN PKWY",
"address_2": "ROOM 3N5",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112357745",
"telephone_number": "718-616-3961"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BULL",
"first_name": "MARTA",
"middle_name": "ELENA",
"name_prefix": "Mrs.",
"credential": "O.T.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-07-04",
"last_updated": "2010-07-04",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NY",
"license": "011651",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"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 Jul 4, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.