Active NPI
Tayla Austin
- Occupational Therapy Assistant
- Jamaica, NY
National Provider Identifier
1427567023
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 009491
- Practice address
- 16411 Chapin Pkwy
Jamaica, NY 11432-1816 - Phone
- (800) 521-9604
- NPI assigned
- Sep 26, 2017
- 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 Therapy Assistant | 224Z00000X | A02612 | MD | |
| Occupational Therapy Assistant | 224Z00000X | 009491 | NY | Primary |
Addresses
Primary practice location
16411 Chapin Pkwy
Jamaica, NY 11432-1816
Mailing address
925 S Semoran Blvd Ste 110a
Winter Park, FL 32792-5313
Phone (800) 521-9604
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 |
|---|---|---|---|
| A02612 | MD | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1506384000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1546473600000",
"number": "1427567023",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "925 S SEMORAN BLVD STE 110A",
"city": "WINTER PARK",
"state": "FL",
"postal_code": "327925313",
"telephone_number": "800-521-9604"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16411 CHAPIN PKWY",
"city": "JAMAICA",
"state": "NY",
"postal_code": "114321816",
"telephone_number": "800-521-9604"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AUSTIN",
"first_name": "TAYLA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-09-26",
"last_updated": "2019-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "MD",
"license": "A02612",
"primary": false
},
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "NY",
"license": "009491",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jamaica, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 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.