Active NPI
Juan Xavier Sanchez, COTA/L
- Occupational Therapist
- Long Island City, NY
National Provider Identifier
1417400250
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 027862-01
- Practice address
- 3100 47TH Ave Unit 2120D
Long Island City, NY 11101-3068 - Phone
- (718) 593-4121
- NPI assigned
- Jul 28, 2016
- Last updated
- Apr 17, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 008992 | NY | |
| Occupational Therapist | 225X00000X | |||
| Occupational Therapist | 225X00000X | 027862-01 | NY | Primary |
Addresses
Primary practice location
3100 47TH Ave Unit 2120D
Long Island City, NY 11101-3068
Mailing address
3038 78TH St
East Elmhurst, NY 11370-1508
Phone (718) 513-8569
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
| License | State | Type | Specialty |
|---|---|---|---|
| 008992 | NY | MD | Optometrist |
| 027862-01 | NY | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1469664000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1681689600000",
"number": "1417400250",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3038 78TH ST",
"city": "EAST ELMHURST",
"state": "NY",
"postal_code": "113701508",
"telephone_number": "718-513-8569"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3100 47TH AVE UNIT 2120D",
"city": "LONG ISLAND CITY",
"state": "NY",
"postal_code": "111013068",
"telephone_number": "718-593-4121"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANCHEZ",
"first_name": "JUAN",
"middle_name": "XAVIER",
"credential": "COTA/L",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-07-28",
"last_updated": "2023-04-17",
"certification_date": "2023-04-17",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "NY",
"license": "008992",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NY",
"license": "027862-01",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Long Island City, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.