Occupational Therapy Clubhouse, PC

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

License

008207-1 Issued in NY

Legal business name

OCCUPATIONAL THERAPY CLUBHOUSE, PC

Practice address

321 Beach 102ND St
Rockaway Park, NY 11694-2867

Phone

(917) 721-5334

NPI assigned

Jul 25, 2011

Organization subpart

No

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

Authorized official

Name

Miss Virginia O'Brien, MS OTR/LNPI 1023261054

Title

Occupational Therapist

Phone

(917) 721-5334

Specialties & licenses 2

Addresses

Practitioners 1

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

• Virginia O'Brien, OTR/L, CCC-SLP

  • Pediatric Occupational Therapist
  • Rockaway Park, NY
  • NPI 1023261054
  NPD (past) Authorized official

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

{
    "created_epoch": "1311552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1311552000000",
    "number": "1396023487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 BEACH 102ND ST",
            "city": "ROCKAWAY PARK",
            "state": "NY",
            "postal_code": "116942867",
            "telephone_number": "917-721-5334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 BEACH 102ND ST",
            "city": "ROCKAWAY PARK",
            "state": "NY",
            "postal_code": "116942867",
            "telephone_number": "917-721-5334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCCUPATIONAL THERAPY CLUBHOUSE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-25",
        "last_updated": "2011-07-25",
        "status": "A",
        "authorized_official_last_name": "O'BRIEN",
        "authorized_official_first_name": "VIRGINIA",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "917-721-5334",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "MS OTR/L"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NY",
            "license": "008207-1",
            "primary": false
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NY",
            "license": "008207-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul Vincent Nolan, RN
• Ellen Lori Nussbaum, D.C.
• Virginia O'Brien, OTR/L, CCC-SLP
• Kailey M O'Grady
• Katie O'Sullivan, RDMS
• Ocean Front Day Care LLC
• Anneli Okwuonu
• Open Door PT OT, PLLC
• Opop, LLC (Beacon Rehabilitation and Nursing Center)
• Park Ave Psychotherapy

• Early Intervention Provider Agency in Rockaway Park, NY
• Providers in Rockaway Park, NY by specialty
• Early Intervention Provider Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2011; 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.