Individual provider Active NPI

Serafin Andaya Tapia, OTA/L

  • Occupational Therapy Assistant
  • Woodside, NY
National Provider Identifier
1467710566
Registry record updated Apr 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
007270 Issued in NY
Practice address
4040 68TH St Apt 3a
Woodside, NY 11377-3888
Phone
(650) 307-8638
NPI assigned
Apr 25, 2012
Last updated
Apr 25, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 25, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 007270 NY Primary

Addresses

Primary practice location

4040 68TH St Apt 3a
Woodside, NY 11377-3888

Mailing address

517 Trapiche 3
Tanauan, BATANGAS 4232
PH

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
007270NYMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1335312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335312000000",
    "number": "1467710566",
    "addresses": [
        {
            "country_code": "PH",
            "country_name": "Philippines",
            "address_purpose": "MAILING",
            "address_type": "FGN",
            "address_1": "517 TRAPICHE 3",
            "city": "TANAUAN",
            "state": "BATANGAS",
            "postal_code": "4232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4040 68TH ST APT 3A",
            "city": "WOODSIDE",
            "state": "NY",
            "postal_code": "113773888",
            "telephone_number": "650-307-8638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAPIA",
        "first_name": "SERAFIN",
        "middle_name": "ANDAYA",
        "name_prefix": "Mr.",
        "credential": "OTA/L",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-04-25",
        "last_updated": "2012-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "NY",
            "license": "007270",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodside, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 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.