Individual provider Active NPI

Angela Lee Koziarz

  • Hand Occupational Therapist
  • New York, NY
National Provider Identifier
1467155317
Registry record updated Aug 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hand Occupational TherapistTaxonomy code 225XH1200X
License
027779 Issued in NY
Practice address
26 E 22ND St
New York, NY 10010-6107
Phone
(646) 847-1684
NPI assigned
Mar 22, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 28, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hand Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225XH1200X 027779 NY Primary

Addresses

Primary practice location

26 E 22ND St
New York, NY 10010-6107

Mailing address

26 E 22ND St
New York, NY 10010-6107
Phone (646) 847-1684

Other practice location 1

475 Northern Blvd Ste 19
Great Neck, NY 11021-4802
Phone (516) 829-0030

Other practice location 2

2108 Merrick Mall
Merrick, NY 11566-3626
Phone (516) 868-5302

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230406000914 NY Practitioner - Occupational Therapist in Private Practice 7416322300 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

26 E 22ND St
New York, NY 10010-6107
Phone (646) 847-1684

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
027779NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Reddy Care Physical and Occupational Therapy PLLC CurrentSince Apr 12, 2023 Accepting new patients
Professional Occupational & Physical Therapy, PLLC Multi-Specialty Current Accepting new patients
Professional Occupational & Physical Therapy, PLLC Multi-Specialty CurrentSince Mar 16, 2023 Accepting new patients
Professional Occupational & Physical Therapy, PLLC Multi-Specialty CurrentSince Mar 16, 2023 Accepting new patients
Spear Physical and Occupational Therapy, LLC Multi-Specialty CurrentSince Aug 31, 2023 Accepting new patients
Reddy Care Physical Therapy PC Multi-Specialty PastSince Apr 1, 2023 Accepting new patients

Locations

123 Grove Ave
Cedarhurst, NY 11516
Phone (516) 374-4248

27278 Grand Central Pkwy
Floral Park, NY 11005
Phone (516) 344-0030

475 Northern Blvd
Ste 19
Great Neck, NY 11021
Phone (516) 344-0023

475 Northern Blvd
Ste 27
Great Neck, NY 11021

576 Broadhollow Rd
Melville, NY 11747

2108 Merrick Mall
Merrick, NY 11566
Phone (516) 868-5302

120 E 56th St
Rm 1010
New York, NY 10022
Phone (646) 790-7466

31 E 32nd St
Fl 4
New York, NY 10016
Phone (646) 973-5427

2142 Utopia Pkwy
Whitestone, NY 11357
Phone (718) 767-0610

Organizations & group practices 6

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": "1679443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693180800000",
    "number": "1467155317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 E 22ND ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100106107",
            "telephone_number": "646-847-1684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 E 22ND ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100106107",
            "telephone_number": "646-847-1684"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "475 Northern Blvd Ste 19",
            "address_purpose": "LOCATION",
            "city": "Great Neck",
            "state": "NY",
            "postal_code": "110214802",
            "country_code": "US",
            "telephone_number": "516-829-0030",
            "fax_number": "516-466-7723",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2108 Merrick Mall",
            "address_purpose": "LOCATION",
            "city": "Merrick",
            "state": "NY",
            "postal_code": "115663626",
            "country_code": "US",
            "telephone_number": "516-868-5302",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOZIARZ",
        "first_name": "ANGELA",
        "middle_name": "LEE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-03-22",
        "last_updated": "2023-08-28",
        "certification_date": "2023-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XH1200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Hand",
            "state": "NY",
            "license": "027779",
            "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 Aug 28, 2023; 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.