NPIMap

Organization Active NPI

Mind and Body Occupational Therapy, P.C.

  • Pediatric Occupational Therapist
  • New York, NY
National Provider Identifier
1407000995
Registry record updated Nov 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
009959-1 Issued in NY
Legal business name
MIND AND BODY OCCUPATIONAL THERAPY, P.C.
Practice address
300 W 135TH St
2S
New York, NY 10030-2731
Phone
(917) 603-2385
Fax
(212) 368-1241
NPI assigned
Nov 10, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2008

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

Authorized official

Name
Brigitte Caridad Desport, MS, OTR/LNPI 1235383720
Title
President
Phone
(917) 603-2385

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Rehabilitation Occupational TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225XP0019X 009959-1 NY
Pediatric Occupational TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225XP0200X 009959-1 NY Primary

Addresses

Primary practice location

300 W 135TH St
2S
New York, NY 10030-2731

Mailing address

PO Box 653
New York, NY 10030-0600
Phone (917) 603-2385

National Provider Directory

National Provider Directory
Tax ID family
Mind and Body Occupational Therapy PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1226275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226275200000",
    "number": "1407000995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 653",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100300600",
            "telephone_number": "917-603-2385",
            "fax_number": "212-368-1241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 W 135TH ST",
            "address_2": "2S",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100302731",
            "telephone_number": "917-603-2385",
            "fax_number": "212-368-1241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIND AND BODY OCCUPATIONAL THERAPY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-10",
        "last_updated": "2008-11-10",
        "status": "A",
        "authorized_official_last_name": "DESPORT",
        "authorized_official_first_name": "BRIGITTE",
        "authorized_official_middle_name": "CARIDAD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "917-603-2385",
        "authorized_official_credential": "MS, OTR/L"
    },
    "taxonomies": [
        {
            "code": "225XP0019X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Occupational Therapist, Physical Rehabilitation",
            "state": "NY",
            "license": "009959-1",
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NY",
            "license": "009959-1",
            "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 10, 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.