Individual provider Active NPI

Elisheva Loewy, OTR/L

  • Occupational Therapist
  • East Northport, NY
National Provider Identifier
1407409030
Registry record updated Jul 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
023777 Issued in NY
Practice address
11 Tollgate Dr
East Northport, NY 11731-5423
Phone
(845) 499-1093
NPI assigned
Jul 23, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 23, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 023777 NY Primary

Addresses

Primary practice location

11 Tollgate Dr
East Northport, NY 11731-5423

Mailing address

11 Tollgate Dr
East Northport, NY 11731-5423
Phone (631) 368-0409

Other identifiers 1

IdentifierTypeStateIssuer
023777OtherNYOCCUPATIONAL THERAPY LICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ejacobso4@student.touro.edu

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
023777NYMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1563840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563840000000",
    "number": "1407409030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 TOLLGATE DR",
            "city": "EAST NORTHPORT",
            "state": "NY",
            "postal_code": "117315423",
            "telephone_number": "631-368-0409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 TOLLGATE DR",
            "city": "EAST NORTHPORT",
            "state": "NY",
            "postal_code": "117315423",
            "telephone_number": "845-499-1093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOEWY",
        "first_name": "ELISHEVA",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-23",
        "last_updated": "2019-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "023777",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OCCUPATIONAL THERAPY LICENSE",
            "identifier": "023777",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ejacobso4@student.touro.edu",
            "affiliation": "N",
            "address_1": "11 Tollgate Dr",
            "city": "East Northport",
            "state": "NY",
            "country_code": "US",
            "postal_code": "117315423",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in East Northport, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2019; 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.