Life Tree Occupational Therapy Services PC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

LIFE TREE OCCUPATIONAL THERAPY SERVICES PC

Practice address

2900 Bragg St
Brooklyn, NY 11235-1144

Phone

(917) 659-5966

NPI assigned

Jan 17, 2024

Organization subpart

No

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

Authorized official

Name

Akinwunmi O JonesNPI 1023672128

Title

OT

Phone

(917) 659-5966

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 1

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

• Akinwunmi O Jones

  • Pediatric Occupational Therapist
  • Bronx, NY
  • NPI 1023672128
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1705449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705449600000",
    "number": "1396506358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2552 FENTON AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104695643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 BRAGG ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112351144",
            "telephone_number": "917-659-5966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE TREE OCCUPATIONAL THERAPY SERVICES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-17",
        "last_updated": "2024-01-17",
        "certification_date": "2024-01-17",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "AKINWUNMI",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "OT",
        "authorized_official_telephone_number": "917-659-5966"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinic/Center in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.