Alexis Tirado

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

006833-1 Issued in NY

Practice address

1358 56TH St
Brooklyn, NY 11219-4616

Phone

(718) 851-7100

NPI assigned

Apr 29, 2019

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Jewish Board of Family and Children'S Services

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Brooklyn, NY
  • NPI 1427222850
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1556496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556496000000",
    "number": "1497319073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 HEMPSTEAD AVE",
            "city": "LYNBROOK",
            "state": "NY",
            "postal_code": "115631613",
            "telephone_number": "718-208-0075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1358 56TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112194616",
            "telephone_number": "718-851-7100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIRADO",
        "first_name": "ALEXIS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-04-29",
        "last_updated": "2019-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "NY",
            "license": "006833-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allison Tipaldo
• Thomas Tippy, PT, DPT
• Omer Khalique Tipu, MD
• Tipul Medical P.C.
• Paula Gaviota Tirado-Mansilla, LCSW
• Gladys Tirado, CASAC
• Michal Sarit Tirado, M.A., MHC-LP
• Christina Tiralosi
• Basma Abdelkarim Tirelbar
• Matthew James Tirelli, PMHNP

• Occupational Therapy Assistant in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Occupational Therapy Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 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.

Verify at the official NPI Registry.