Active NPI
Gerald Mohabir, OTR/L
- Occupational Therapist
- Valley Stream, NY
National Provider Identifier
1477004596
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 019000
- Practice address
- 31 Countisbury Ave
Valley Stream, NY 11580-1747 - Phone
- (516) 655-4533
- NPI assigned
- Oct 24, 2016
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 019000 | NY | Primary |
| Occupational Therapist | 225X00000X | 16280 | CA |
Addresses
Primary practice location
31 Countisbury Ave
Valley Stream, NY 11580-1747
Mailing address
31 Countisbury Ave
Valley Stream, NY 11580-1747
Phone (516) 655-4533
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
| License | State | Type | Specialty |
|---|---|---|---|
| 16280 | CA | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1477267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1477267200000",
"number": "1477004596",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "31 COUNTISBURY AVE",
"city": "VALLEY STREAM",
"state": "NY",
"postal_code": "115801747",
"telephone_number": "516-655-4533"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "31 COUNTISBURY AVE",
"city": "VALLEY STREAM",
"state": "NY",
"postal_code": "115801747",
"telephone_number": "516-655-4533"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOHABIR",
"first_name": "GERALD",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-10-24",
"last_updated": "2016-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NY",
"license": "019000",
"primary": true
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CA",
"license": "16280",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Valley Stream, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.