Individual provider Active NPI

Eulalia Cenir Antinero, OTR/L

  • Occupational Therapist
  • New York, NY
National Provider Identifier
1396053633
Registry record updated Nov 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT17623 Issued in FL
Practice address
264 Canal St Ste 6E
New York, NY 10013-3596
Phone
(212) 925-8069
Fax
(347) 602-9058
NPI assigned
Sep 21, 2010
Last updated
Nov 24, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 24, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 015669-1 NY
Occupational Therapist 225X00000X OT17623 FL Primary

Addresses

Primary practice location

264 Canal St Ste 6E
New York, NY 10013-3596

Mailing address

264 Canal St Ste 6E
New York, NY 10013-3596
Phone (212) 925-8069

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

LicenseStateTypeSpecialty
OT17623FLMDOccupational Therapist
015669-1NYMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Rehabcare Group East, LLC 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1285027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606176000000",
    "number": "1396053633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "264 CANAL ST STE 6E",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100133596",
            "telephone_number": "212-925-8069",
            "fax_number": "347-602-9058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "264 CANAL ST STE 6E",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100133596",
            "telephone_number": "212-925-8069",
            "fax_number": "347-602-9058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANTINERO",
        "first_name": "EULALIA",
        "middle_name": "CENIR",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-21",
        "last_updated": "2020-11-24",
        "certification_date": "2020-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "015669-1",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT17623",
            "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 24, 2020; 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.