Organization Active NPI

S.R.Occupational & Massage Therapy,PC

  • Occupational Therapist
  • Bayside, NY
National Provider Identifier
1437401999
Registry record updated Oct 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
003946-1 Issued in NY
Legal business name
S.R.OCCUPATIONAL & MASSAGE THERAPY,PC
Practice address
20920 33Rd Rd
Bayside, NY 11361-1421
Phone
(917) 403-4448
Fax
(718) 224-3129
NPI assigned
Oct 9, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2012

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

Authorized official

Name
Ms. Susan A Ronis, MSOTRLMT
Title
President
Phone
(917) 403-4448

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225X00000X 003946-1 NY Primary

Addresses

Primary practice location

20920 33Rd Rd
Bayside, NY 11361-1421

Mailing address

20920 33Rd Rd
Bayside, NY 11361-1421
Phone (917) 403-4448

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1349740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349740800000",
    "number": "1437401999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20920 33RD RD",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113611421",
            "telephone_number": "917-403-4448",
            "fax_number": "718-224-3129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20920 33RD RD",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113611421",
            "telephone_number": "917-403-4448",
            "fax_number": "718-224-3129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S.R.OCCUPATIONAL & MASSAGE THERAPY,PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-09",
        "last_updated": "2012-10-09",
        "status": "A",
        "authorized_official_last_name": "RONIS",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "917-403-4448",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MSOTRLMT"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "003946-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayside, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2012; 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.