Radwa M Aly, COTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

011148 Issued in NY

Practice address

1966 78TH St
East Elmhurst, NY 11370-1308

Phone

(917) 796-0306

NPI assigned

Jul 22, 2022

Last updated

Aug 6, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Bravo Occupational Therapy PC

  • Occupational Therapist
  • Hicksville, NY
  • NPI 1194448449
  NPD

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

{
    "created_epoch": "1658448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659744000000",
    "number": "1396470316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1966 78TH ST",
            "city": "EAST ELMHURST",
            "state": "NY",
            "postal_code": "113701308",
            "telephone_number": "917-796-0306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1966 78TH ST",
            "city": "EAST ELMHURST",
            "state": "NY",
            "postal_code": "113701308",
            "telephone_number": "917-796-0306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALY",
        "first_name": "RADWA",
        "middle_name": "M",
        "credential": "COTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-22",
        "last_updated": "2022-08-06",
        "certification_date": "2022-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "NY",
            "license": "011148",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tiana Marie Alford
• Aliah Home Care Inc
• Aliah Home Care Inc
• Elizabeth Victoria Alleyne, REGISTERED NURSE
• Anthony F Alonso, PHARMD
• Christopher John Amaechi
• American Bangla Home Care Services
• Lillian E Anastos, M.S. ED
• Syed Yawar Anis, PHARMACIST
• Hazel Agatha Anthony, P.T

• Occupational Therapy Assistant in East Elmhurst, NY
• Providers in East Elmhurst, NY by specialty
• Occupational Therapy Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2022; 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.