Active NPI
Jesus Olay, O.T.R.
- Occupational Therapist
- South Huntington, NY
National Provider Identifier
1467605386
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 010052-1
- Practice address
- 3 Greenhills Road
Up Wee Grow, Inc.
South Huntington, NY 11746 - Phone
- (516) 777-8777
- Fax
- (516) 777-3293
- NPI assigned
- Oct 23, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 010052-1 | NY | Primary |
Addresses
Primary practice location
3 Greenhills Road
Up Wee Grow, Inc.
South Huntington, NY 11746
Mailing address
25 Bruschi Lane
Ridgefield, CT 06877
Phone (917) 974-2748
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 |
|---|---|---|---|
| 010052-1 | NY | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1224720000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1224720000000",
"number": "1467605386",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25 BRUSCHI LANE",
"city": "RIDGEFIELD",
"state": "CT",
"postal_code": "06877",
"telephone_number": "917-974-2748"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3 GREENHILLS ROAD",
"address_2": "UP WEE GROW, INC.",
"city": "SOUTH HUNTINGTON",
"state": "NY",
"postal_code": "11746",
"telephone_number": "516-777-8777",
"fax_number": "516-777-3293"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLAY",
"first_name": "JESUS",
"name_prefix": "Mr.",
"credential": "O.T.R.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-10-23",
"last_updated": "2008-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NY",
"license": "010052-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in South Huntington, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.