Individual provider Active NPI

Max Zandberg, OT

  • Occupational Therapist
  • Brooklyn, NY
National Provider Identifier
1609169226
Registry record updated May 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
016726 Issued in NY
Practice address
200 Bethel Loop Apt 2E
Brooklyn, NY 11239-1702
Phone
(718) 503-4062
NPI assigned
May 17, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 17, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 016726 NY Primary

Addresses

Primary practice location

200 Bethel Loop Apt 2E
Brooklyn, NY 11239-1702

Mailing address

200 Bethel Loop Apt 2E
Brooklyn, NY 11239-1702
Phone (718) 503-4062

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191016000258 FL Practitioner - Occupational Therapist in Private Practice 2961663331 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
93.17 of 100Reported as group
Quality
100
Improvement activities
40
Cost
77.23

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
United Thera Group LLC CurrentSince Jan 30, 2023 Accepting new patients
Boca Therapy Inc CurrentSince Aug 12, 2019 Accepting new patients
Core Strong Physical Therapy LLC CurrentSince Mar 12, 2022 Accepting new patients
Visitry Florida LLC CurrentSince Nov 1, 2024 Accepting new patients
Suny Downstate Medical Center Past Accepting new patients
Varsha Pohuja LLC Occupational Therapist Past Accepting new patients

Locations

141 NW 20th St
Ste G
Boca Raton, FL 33431
Phone (561) 757-6198

15200 S Jog Rd
Ste B8
Delray Beach, FL 33446
Phone (561) 495-7171

802 E Whiting St
Tampa, FL 33602
Phone (716) 523-1783

Organizations & group practices 7

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": "1305590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1305590400000",
    "number": "1609169226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 BETHEL LOOP APT 2E",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112391702",
            "telephone_number": "718-503-4062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 BETHEL LOOP APT 2E",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112391702",
            "telephone_number": "718-503-4062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZANDBERG",
        "first_name": "MAX",
        "credential": "OT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-05-17",
        "last_updated": "2011-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "016726",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2011; 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.