Active NPI
Chelsea Kandasami, OTR/L
- Occupational Therapist
- Long Island City, NY
National Provider Identifier
1386307809
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 026060
- Practice address
- 3418 Northern Blvd
Long Island City, NY 11101-2807 - Phone
- (917) 374-3423
- NPI assigned
- Oct 21, 2021
- Sex
- Female
- Sole proprietor
- No
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 | 026060 | NY | Primary |
Addresses
Primary practice location
3418 Northern Blvd
Long Island City, NY 11101-2807
Mailing address
17515 89TH Ave
Jamaica, NY 11432-5540
Phone (646) 520-7436
Other practice location 1
17515 89th Ave
Jamaica, NY 11432-5540
Phone (646) 520-7436
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1634774400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1634774400000",
"number": "1386307809",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17515 89TH AVE",
"city": "JAMAICA",
"state": "NY",
"postal_code": "114325540",
"telephone_number": "646-520-7436"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3418 NORTHERN BLVD",
"city": "LONG ISLAND CITY",
"state": "NY",
"postal_code": "111012807",
"telephone_number": "917-374-3423"
}
],
"practiceLocations": [
{
"address_1": "17515 89th Ave",
"address_purpose": "LOCATION",
"city": "Jamaica",
"state": "NY",
"postal_code": "114325540",
"country_code": "US",
"telephone_number": "646-520-7436",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KANDASAMI",
"first_name": "CHELSEA",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-10-21",
"last_updated": "2021-10-21",
"certification_date": "2021-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NY",
"license": "026060",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Long Island City, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.