Individual provider Active NPI

Gabrielle Miskovitz, OTR/L

  • Occupational Therapist
  • New York, NY
National Provider Identifier
1417610098
Registry record updated Mar 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
46TR00884600 Issued in NJ
Practice address
119 W 57TH St
New York, NY 10019-2303
Phone
(212) 421-5505
NPI assigned
Oct 20, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 4, 2025

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 46TR00884600 NJ Primary

Addresses

Primary practice location

119 W 57TH St
New York, NY 10019-2303

Mailing address

331 Harrison St
Haworth, NJ 07641-1432

Other practice location 1

500 N Franklin Tpke Ste 100
Ramsey, NJ 07446-1160
Phone (201) 760-2180

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230808001583 NY Practitioner - Occupational Therapist in Private Practice 1759743750 Reassigns benefits to 1 organization
I20250312002801 NJ Practitioner - Occupational Therapist in Private Practice 1759743750 Reassigns benefits to 1 organization

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
SDK Physical and Occupational Therapy PLLCGroup PAC ID 5395136964, 8 clinicians

Practice addresses (Care Compare)

119 W 57TH St
Suite 212
New York, NY 10019-2302
Phone (212) 421-5505

200 Old Hook Rd
Harrington Park, NJ 07640-1744
Phone (551) 230-1543

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Healthpro Heritage Rehab & Fitness, LLC Occupational Therapist CurrentSince Feb 7, 2025 Accepting new patients
SDK Physical and Occupational Therapy, PLLC Occupational Therapist CurrentSince Jun 1, 2023 Accepting new patients
Healthpro Heritage Rehab & Fitness, LLC Occupational Therapist CurrentSince Feb 7, 2025 Accepting new patients
Kessler Institute for Rehabilitation Inc PastSince Oct 1, 2021 Accepting new patients

Locations

119 W 57th St
Ste 212
New York, NY 10019
Phone (212) 421-1740

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1634688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741046400000",
    "number": "1417610098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "331 HARRISON ST",
            "city": "HAWORTH",
            "state": "NJ",
            "postal_code": "076411432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 W 57TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100192303",
            "telephone_number": "212-421-5505"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 N Franklin Tpke Ste 100",
            "address_purpose": "LOCATION",
            "city": "Ramsey",
            "state": "NJ",
            "postal_code": "074461160",
            "country_code": "US",
            "telephone_number": "201-760-2180",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MISKOVITZ",
        "first_name": "GABRIELLE",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-20",
        "last_updated": "2025-03-04",
        "certification_date": "2025-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NJ",
            "license": "46TR00884600",
            "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 Mar 4, 2025; 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.

Verify at the official NPI Registry.