Organization Active NPI

Functional Independence Occupational Therapy

  • Occupational Therapist
  • Bellerose Village, NY
National Provider Identifier
1578117669
Registry record updated Jul 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Legal business name
FUNCTIONAL INDEPENDENCE OCCUPATIONAL THERAPY
Practice address
22 Huron Rd
Bellerose Village, NY 11001-4007
Phone
(347) 463-3019
NPI assigned
Jul 28, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2019

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

Authorized official

Name
Mrs. Laura Marie Falesto, OTR/L
Title
Owner
Phone
(347) 463-3019

Specialties & licenses 1

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

Addresses

Primary practice location

22 Huron Rd
Bellerose Village, NY 11001-4007

Mailing address

22 Huron Rd
Bellerose Village, NY 11001-4007
Phone (347) 463-3019

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1564272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1564272000000",
    "number": "1578117669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 HURON RD",
            "city": "BELLEROSE VILLAGE",
            "state": "NY",
            "postal_code": "110014007",
            "telephone_number": "347-463-3019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 HURON RD",
            "city": "BELLEROSE VILLAGE",
            "state": "NY",
            "postal_code": "110014007",
            "telephone_number": "347-463-3019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FUNCTIONAL INDEPENDENCE OCCUPATIONAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-28",
        "last_updated": "2019-07-28",
        "status": "A",
        "authorized_official_last_name": "FALESTO",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "347-463-3019",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellerose Village, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2019; 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.