Active NPI
Katerina Kalantarova, OTR/L
- Occupational Therapist
- Flushing, NY
National Provider Identifier
1508475617
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 024809
- Practice address
- 14148 79TH Ave Apt 3H
Flushing, NY 11367-3614 - Phone
- (917) 600-7475
- NPI assigned
- Jul 24, 2020
- 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 | 024809 | NY | Primary |
Addresses
Primary practice location
14148 79TH Ave Apt 3H
Flushing, NY 11367-3614
Mailing address
14148 79TH Ave Apt 3H
Flushing, NY 11367-3614
Phone (917) 600-7475
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2003 Coney Island Ave
Brooklyn, NY 11223-2328
Phone (347) 394-1600
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| KK Therapeutics OT PC | Multi-Specialty | Current | Accepting new patients |
| Core Therapy Services PT OT PLLC | Multi-Specialty | Current | Accepting new patients |
Locations
2003 Coney Island Ave
Brooklyn, NY 11223
Phone (347) 394-1600
Organizations & group practices 2
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": "1595548800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1596153600000",
"number": "1508475617",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14148 79TH AVE APT 3H",
"city": "FLUSHING",
"state": "NY",
"postal_code": "113673614",
"telephone_number": "917-600-7475"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14148 79TH AVE APT 3H",
"city": "FLUSHING",
"state": "NY",
"postal_code": "113673614",
"telephone_number": "917-600-7475"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KALANTAROVA",
"first_name": "KATERINA",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-07-24",
"last_updated": "2020-07-31",
"certification_date": "2020-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Occupational Therapist",
"state": "NY",
"license": "024809",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Flushing, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.