Individual provider Active NPI

Katerina Kalantarova, OTR/L

  • Occupational Therapist
  • Flushing, NY
National Provider Identifier
1508475617
Registry record updated Jul 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
024809 Issued in NY
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

Updated by the provider on Jul 31, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 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

Enrollment IDStateProvider typePAC IDDetails
I20200914001950 NY Practitioner - Occupational Therapist in Private Practice 0547688129 Reassigns benefits to 1 organization
Practice locations: Forest Hills, NY

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
Core Therapy Services PT OT PLLCGroup PAC ID 4587041512, 28 clinicians

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

OrganizationSpecialtyStatusNew patients
KK Therapeutics OT PC Multi-Specialty CurrentSince Mar 1, 2024 Accepting new patients
Core Therapy Services PT OT PLLC Multi-Specialty CurrentSince Jan 1, 2025 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.

Verify at the official NPI Registry.