Active NPI
Carola Gomes, OTR/L
- Occupational Therapist
- New York, NY
National Provider Identifier
1407052962
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 016739
- Practice address
- 333 W 86TH St
New York, NY 10024-3114 - Phone
- (914) 939-3143
- Fax
- (914) 939-3120
- NPI assigned
- Jun 22, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 016739 | NY | Primary |
Addresses
Primary practice location
333 W 86TH St
New York, NY 10024-3114
Mailing address
168 Irving Ave
Suite 402a
Port Chester, NY 10573-4144
Phone (914) 939-3143
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 016739 | NY | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182470400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1387843200000",
"number": "1407052962",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "168 IRVING AVE",
"address_2": "SUITE 402A",
"city": "PORT CHESTER",
"state": "NY",
"postal_code": "105734144",
"telephone_number": "914-939-3143",
"fax_number": "914-939-3120"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "333 W 86TH ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100243114",
"telephone_number": "914-939-3143",
"fax_number": "914-939-3120"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOMES",
"first_name": "CAROLA",
"name_prefix": "Ms.",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-22",
"last_updated": "2013-12-24",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NY",
"license": "016739",
"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 Dec 24, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.