Individual provider Active NPI

Kristina Danilevica, OTA

  • Occupational Therapy Assistant
  • Brooklyn, NY
National Provider Identifier
1609195056
Registry record updated May 25, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
007491-1 Issued in NY
Practice address
2606 E 15TH St
202
Brooklyn, NY 11235-3828
Phone
(718) 332-0080
Fax
(718) 332-3365
NPI assigned
May 25, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 25, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 007491-1 NY Primary

Addresses

Primary practice location

2606 E 15TH St
202
Brooklyn, NY 11235-3828

Mailing address

2606 E 15TH St
202
Brooklyn, NY 11235-3828
Phone (718) 332-0080

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

State licenses

LicenseStateTypeSpecialty
007491-1NYMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
First Step Therapy (OT, SLP & PT) PLLC Past Accepting new patients

Organizations & group practices 1

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": "1274745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1274745600000",
    "number": "1609195056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2606 E 15TH ST",
            "address_2": "202",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112353828",
            "telephone_number": "718-332-0080",
            "fax_number": "718-332-3365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2606 E 15TH ST",
            "address_2": "202",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112353828",
            "telephone_number": "718-332-0080",
            "fax_number": "718-332-3365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANILEVICA",
        "first_name": "KRISTINA",
        "credential": "OTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-25",
        "last_updated": "2010-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "NY",
            "license": "007491-1",
            "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 25, 2010; 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.