Active NPI
Raquel Maria Logan-Baskett, C.O.T.A
- Occupational Therapy Assistant
- Brooklyn, NY
National Provider Identifier
1396051256
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 004893-1
- Practice address
- 415 Beverley Rd
Apt. Unit LT
Brooklyn, NY 11218-3153 - Phone
- (718) 972-6561
- NPI assigned
- Aug 28, 2010
- 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 Therapy Assistant | 224Z00000X | 004893-1 | NY | Primary |
Addresses
Primary practice location
415 Beverley Rd
Apt. Unit LT
Brooklyn, NY 11218-3153
Mailing address
20 Wendell St
Apt. #6F
Hempstead, NY 11550-1206
Phone (516) 385-1886
Other names 1
- Mrs. Raquel Maria Baskett
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 |
|---|---|---|---|
| 004893-1 | NY | MD | Occupational Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rehab Care Professionals | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Early Intervention Provider Agency
- Brooklyn, NY
- NPI 1477780435
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1282953600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1282953600000",
"number": "1396051256",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20 WENDELL ST",
"address_2": "APT. #6F",
"city": "HEMPSTEAD",
"state": "NY",
"postal_code": "115501206",
"telephone_number": "516-385-1886"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "415 BEVERLEY RD",
"address_2": "APT. UNIT LT",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112183153",
"telephone_number": "718-972-6561"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOGAN-BASKETT",
"first_name": "RAQUEL",
"middle_name": "MARIA",
"name_prefix": "Mrs.",
"credential": "C.O.T.A",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-08-28",
"last_updated": "2010-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "NY",
"license": "004893-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "RAQUEL",
"last_name": "BASKETT",
"middle_name": "MARIA",
"prefix": "MRS.",
"credential": "C.O.T.A",
"code": "2",
"type": "Professional Name"
}
]
}
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 Aug 28, 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.