Individual provider Active NPI

Yomira Duran

  • Occupational Therapist
  • Jackson Heights, NY
National Provider Identifier
1437564119
Registry record updated Jun 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
015791 Issued in NY
Practice address
8412 35TH Ave
4H
Jackson Heights, NY 11372-5453
Phone
(718) 598-3278
NPI assigned
Jun 21, 2014
Last updated
Jun 21, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 21, 2014

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 015791 NY Primary

Addresses

Primary practice location

8412 35TH Ave
4H
Jackson Heights, NY 11372-5453

Mailing address

8412 35TH Ave
4H
Jackson Heights, NY 11372-5453
Phone (718) 598-3278

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

LicenseStateTypeSpecialty
015791NYMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1403308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403308800000",
    "number": "1437564119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8412 35TH AVE",
            "address_2": "4H",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113725453",
            "telephone_number": "718-598-3278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8412 35TH AVE",
            "address_2": "4H",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113725453",
            "telephone_number": "718-598-3278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DURAN",
        "first_name": "YOMIRA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-06-21",
        "last_updated": "2014-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "015791",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson Heights, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2014; 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.