Active NPI
Janine Marie Tyska, MS, OTR/L
- Occupational Therapist
- Bronx, NY
National Provider Identifier
1568773349
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 015709-1
- Practice address
- 1840 Bogart Ave
Bronx, NY 10462-3755 - Phone
- (718) 555-5555
- NPI assigned
- Jun 28, 2010
- Last updated
- Apr 20, 2012
- 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 | 015709-1 | NY | Primary |
Addresses
Primary practice location
1840 Bogart Ave
Bronx, NY 10462-3755
Mailing address
1840 Bogart Ave
Bronx, NY 10462-3755
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 015709-1 | NY | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1277683200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1334880000000",
"number": "1568773349",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1840 BOGART AVE",
"city": "BRONX",
"state": "NY",
"postal_code": "104623755"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1840 BOGART AVE",
"city": "BRONX",
"state": "NY",
"postal_code": "104623755",
"telephone_number": "718-555-5555"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TYSKA",
"first_name": "JANINE",
"middle_name": "MARIE",
"name_prefix": "Miss",
"credential": "MS, OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-06-28",
"last_updated": "2012-04-20",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NY",
"license": "015709-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.