Organization Active NPI

Neuroadept Occupational Therapist

  • Occupational Therapist
  • Sparrow Bush, NY
National Provider Identifier
1548635238
Registry record updated Dec 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
008641-1 Issued in NY
Legal business name
NEUROADEPT OCCUPATIONAL THERAPIST
Practice address
168 Wilson Rd
Sparrow Bush, NY 12780-5440
Phone
(845) 313-2382
Fax
(845) 810-7013
NPI assigned
Dec 6, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2015

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

Authorized official

Name
Mr. William P Kowal, OTR/LNPI 1972698298
Title
Manager
Phone
(845) 313-2382

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225X00000X 008641-1 NY Primary

Addresses

Primary practice location

168 Wilson Rd
Sparrow Bush, NY 12780-5440

Mailing address

168 Wilson Rd
Sparrow Bush, NY 12780-5440
Phone (845) 313-2382

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1449360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449360000000",
    "number": "1548635238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "168 WILSON RD",
            "city": "SPARROW BUSH",
            "state": "NY",
            "postal_code": "127805440",
            "telephone_number": "845-313-2382",
            "fax_number": "845-810-7013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "168 WILSON RD",
            "city": "SPARROW BUSH",
            "state": "NY",
            "postal_code": "127805440",
            "telephone_number": "845-313-2382",
            "fax_number": "845-810-7013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROADEPT OCCUPATIONAL THERAPIST",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-06",
        "last_updated": "2015-12-06",
        "status": "A",
        "authorized_official_last_name": "KOWAL",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "845-313-2382",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "008641-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sparrow Bush, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2015; 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.