Individual provider Active NPI

Tafara Zvenyika, O.T.

  • Occupational Therapist
  • Staten Island, NY
National Provider Identifier
1497920912
Registry record updated Jan 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
009804-1 Issued in NY
Practice address
181 Brielle Ave
Staten Island, NY 10314-6422
Phone
(718) 370-0877
NPI assigned
Apr 25, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 22, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 009804-1 NY Primary

Addresses

Primary practice location

181 Brielle Ave
Staten Island, NY 10314-6422

Mailing address

181 Brielle Ave
Staten Island, NY 10314-6422
Phone (347) 546-8804

Other names 1

  • Tafara Zvenyika Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150319000236 NY Practitioner - Occupational Therapist in Private Practice 2860719457 Reassigns benefits to 1 organization
Practice locations: Staten Island, NY

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
009804-1NYMDClinical Psychologist
009804NYMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Welllife Network Inc CurrentSince Feb 1, 2002 Accepting new patients
Welllife Network Inc., CurrentSince Feb 1, 2002 Accepting new patients
Welllife Network Inc. Past Accepting new patients

Locations

14202 20th Ave
#3
Flushing, NY 11351

14202 20th Ave
Fl 3
Flushing, NY 11351
Phone (718) 559-0516

800 Northern Blvd
Great Neck, NY 11021
Phone (516) 829-8450

20905 Jamaica Ave
Queens Village, NY 11428
Phone (631) 920-8302

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1209081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453420800000",
    "number": "1497920912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "181 BRIELLE AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103146422",
            "telephone_number": "347-546-8804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "181 BRIELLE AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103146422",
            "telephone_number": "718-370-0877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZVENYIKA",
        "first_name": "TAFARA",
        "credential": "O.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-04-25",
        "last_updated": "2016-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "009804-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TAFARA",
            "last_name": "ZVENYIKA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Staten Island, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.