Sally Atlan, OT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

020507-1 Issued in NY

Practice address

8829 Fort Hamilton Pkwy Apt D01
Brooklyn, NY 11209-6013

Phone

(646) 379-7014

Fax

(212) 601-2671

NPI assigned

Apr 18, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Madison Occupational Therapy Nyc PLLC

  • Occupational Therapist
  • Brooklyn, NY
  • NPI 1184335572
  NPD Authorized official
• Madison Occupational Therapy, LLC

  • Occupational Therapist
  • Brooklyn, NY
  • NPI 1942624275
  NPD

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

{
    "created_epoch": "1460937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666742400000",
    "number": "1427402247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1539 E 13TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112307105",
            "telephone_number": "646-379-7014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8829 FORT HAMILTON PKWY APT D01",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112096013",
            "telephone_number": "646-379-7014",
            "fax_number": "212-601-2671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ATLAN",
        "first_name": "SALLY",
        "credential": "OT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-04-18",
        "last_updated": "2022-10-26",
        "certification_date": "2022-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XN1300X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Neurorehabilitation",
            "state": "NY",
            "license": "020507-01",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "020507-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "07321497",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "WWW.ENDPOINT.COM",
            "affiliation": "N",
            "endpointDescription": "SECURE SYSTEM",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1539 E 13th St",
            "city": "Brooklyn",
            "state": "NY",
            "country_code": "US",
            "postal_code": "112307105",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Mary Atkinson
• Paulagay Atkinson
• Paulette Atkinson
• Takaysha Atkinson
• Winston Atkinson, M.D
• Atlantic Adult Day Care Center, Inc
• Atlantic Adult Day Care LLC
• Atlantic Anesthesiology PC
• Atlantic Avenue Orthodontics, PLLC (Atlantic Ave. Braces)
• Atlantic Avenue Radiology PC

• Occupational Therapist in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Occupational Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.