Active NPI
Mozelle Tobias, OTR/L
- Occupational Therapist
- Brooklyn, NY
National Provider Identifier
1407091259
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 013380
- Practice address
- 64 Avenue X
Brooklyn, NY 11223-5737 - Phone
- (718) 996-8199
- NPI assigned
- Dec 9, 2008
- Last updated
- Dec 9, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 013380 | NY | Primary |
| Occupational Therapist | 225X00000X | 46TR000410000 | NJ |
Addresses
Primary practice location
64 Avenue X
Brooklyn, NY 11223-5737
Mailing address
1753 E 9TH St
Brooklyn, NY 11223-2305
Phone (718) 376-0350
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
88 Whale Pond Rd
Oakhurst, NJ 07755-1270
Phone (848) 667-0740
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 46TR000410000 | NJ | MD | Occupational Therapist |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1228780800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1228780800000",
"number": "1407091259",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1753 E 9TH ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112232305",
"telephone_number": "718-376-0350",
"fax_number": "718-492-6276"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "64 AVENUE X",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112235737",
"telephone_number": "718-996-8199"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TOBIAS",
"first_name": "MOZELLE",
"name_prefix": "Ms.",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-12-09",
"last_updated": "2008-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NY",
"license": "013380",
"primary": true
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NJ",
"license": "46TR000410000",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.