Active NPI
Seena Kuriakose Mathew, M S OTR L
- Occupational Therapist
- St. Albans, NY
National Provider Identifier
1477519189
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 011925
- Practice address
- 179 TH Street and Linden Blvd
St. Albans, NY 11425 - Phone
- (718) 526-1000
- NPI assigned
- Apr 21, 2006
- Sex
- Female
- 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 | 011925 | NY | Primary |
Addresses
Primary practice location
179 TH Street and Linden Blvd
St. Albans, NY 11425
Mailing address
7333 220TH St
Oakland Gardens, NY 11364-3037
Phone (347) 538-0491
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 |
|---|---|---|---|
| 011925 | NY | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145577600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1477519189",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7333 220TH ST",
"city": "OAKLAND GARDENS",
"state": "NY",
"postal_code": "113643037",
"telephone_number": "347-538-0491"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "179 TH STREET AND LINDEN BLVD",
"city": "ST. ALBANS",
"state": "NY",
"postal_code": "11425",
"telephone_number": "718-526-1000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATHEW",
"first_name": "SEENA",
"middle_name": "KURIAKOSE",
"name_prefix": "Mrs.",
"credential": "M S OTR L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NY",
"license": "011925",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in St. Albans, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.