Organization Active NPI

M&M OT & PT Rehab PLLC

  • Occupational Therapist
  • Fresh Meadows, NY
National Provider Identifier
1609124593
Registry record updated Aug 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
006415 Issued in NY
Legal business name
M&M OT & PT REHAB PLLC
Practice address
7568 187TH St
Fresh Meadows, NY 11366-1726
Phone
(718) 454-2500
Fax
(718) 454-8500
NPI assigned
Aug 27, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2012

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

Authorized official

Name
Marie A Montlouis, O.T.
Title
President
Phone
(917) 620-8813

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X 006415 NY Primary

Addresses

Primary practice location

7568 187TH St
Fresh Meadows, NY 11366-1726

Mailing address

7568 187TH St
Fresh Meadows, NY 11366-1726
Phone (718) 454-2500

Other identifiers 1

IdentifierTypeStateIssuer
006415OtherNYLICENSE

National Provider Directory

National Provider Directory
Tax ID family
M M OT PT Rehab PLLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1346025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346025600000",
    "number": "1609124593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7568 187TH ST",
            "city": "FRESH MEADOWS",
            "state": "NY",
            "postal_code": "113661726",
            "telephone_number": "718-454-2500",
            "fax_number": "718-454-8500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7568 187TH ST",
            "city": "FRESH MEADOWS",
            "state": "NY",
            "postal_code": "113661726",
            "telephone_number": "718-454-2500",
            "fax_number": "718-454-8500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M&M OT & PT REHAB PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-27",
        "last_updated": "2012-08-27",
        "status": "A",
        "authorized_official_last_name": "MONTLOUIS",
        "authorized_official_first_name": "MARIE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "917-620-8813",
        "authorized_official_credential": "O.T."
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "006415",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "006415",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresh Meadows, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 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.

Verify at the official NPI Registry.