Active NPI
Judy Y Ha, OT
- Occupational Therapist
- Brooklyn, NY
National Provider Identifier
1497303085
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 005724
- Practice address
- 510 Waverly Ave
Brooklyn, NY 11238-2702 - Phone
- (718) 622-5994
- NPI assigned
- Aug 28, 2019
- 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 | 005724 | NY | Primary |
Addresses
Primary practice location
510 Waverly Ave
Brooklyn, NY 11238-2702
Mailing address
1485 5TH Ave Apt 24D
New York, NY 10035-2780
Phone (917) 279-7902
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 |
|---|---|---|---|
| 005724 | NY | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1566950400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1566950400000",
"number": "1497303085",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1485 5TH AVE APT 24D",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100352780",
"telephone_number": "917-279-7902"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "510 WAVERLY AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112382702",
"telephone_number": "718-622-5994"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HA",
"first_name": "JUDY",
"middle_name": "Y",
"name_prefix": "Ms.",
"credential": "OT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-08-28",
"last_updated": "2019-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Occupational Therapist",
"state": "NY",
"license": "005724",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.