Active NPI
Maria Medina, OT
- Occupational Therapist
- Maspeth, NY
National Provider Identifier
1487143236
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 016395
- Practice address
- 5316 70TH St
Maspeth, NY 11378-1738 - Phone
- (917) 676-2886
- NPI assigned
- May 8, 2018
- Sex
- Female
- 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 | 016395 | NY | Primary |
Addresses
Primary practice location
5316 70TH St
Maspeth, NY 11378-1738
Mailing address
5316 70TH St
Maspeth, NY 11378-1738
Phone (917) 676-2886
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1525737600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1525737600000",
"number": "1487143236",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5316 70TH ST",
"city": "MASPETH",
"state": "NY",
"postal_code": "113781738",
"telephone_number": "917-676-2886"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5316 70TH ST",
"city": "MASPETH",
"state": "NY",
"postal_code": "113781738",
"telephone_number": "917-676-2886"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEDINA",
"first_name": "MARIA",
"credential": "OT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-05-08",
"last_updated": "2018-05-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Occupational Therapist",
"state": "NY",
"license": "016395",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Maspeth, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.