Nicolas Skafidas, MA OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

012306 Issued in NY

Practice address

16216 65TH Ave
Flushing, NY 11365-1813

Phone

(917) 270-7244

Fax

(718) 353-2127

NPI assigned

Nov 22, 2008

Last updated

Nov 22, 2008By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1227312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1227312000000",
    "number": "1396990057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16216 65TH AVE",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113651813",
            "telephone_number": "917-270-7244",
            "fax_number": "718-353-2127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16216 65TH AVE",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113651813",
            "telephone_number": "917-270-7244",
            "fax_number": "718-353-2127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKAFIDAS",
        "first_name": "NICOLAS",
        "name_prefix": "Mr.",
        "credential": "MA OTR/L",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-11-22",
        "last_updated": "2008-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "012306",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Occupational Therapist in Flushing, NY
• Providers in Flushing, NY by specialty
• Occupational Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2008; 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.