Active NPI
Rodercik Maala Valmonte, OT
- Occupational Therapist
- New York, NY
National Provider Identifier
1467724229
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 015520-1
- Practice address
- 4951 Chambers Street
6TH Floor
New York, NY 10007 - Phone
- (212) 221-1544
- NPI assigned
- Feb 8, 2012
- Last updated
- Feb 8, 2012
- Sex
- Male
- Sole proprietor
- No
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 | 015520-1 | NY | Primary |
Addresses
Primary practice location
4951 Chambers Street
6TH Floor
New York, NY 10007
Mailing address
1000 Targee St
Apt 3S
Staten Island, NY 10304-4452
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 |
|---|---|---|---|
| 015520-1 | NY | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1328659200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1328659200000",
"number": "1467724229",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 TARGEE ST",
"address_2": "APT 3S",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103044452"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4951 CHAMBERS STREET",
"address_2": "6TH FLOOR",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10007",
"telephone_number": "212-221-1544"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VALMONTE",
"first_name": "RODERCIK",
"middle_name": "MAALA",
"credential": "OT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-02-08",
"last_updated": "2012-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NY",
"license": "015520-1",
"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 Feb 8, 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.