Sobrook OT, PLLC

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

015672 Issued in NY

Legal business name

SOBROOK OT, PLLC

Practice address

3101 Ocean Pkwy Apt 1B
Brooklyn, NY 11235-8413

Phone

(646) 820-3398

Fax

(718) 228-7362

NPI assigned

Jun 1, 2017

Organization subpart

No

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

Authorized official

Name

Ms. Tatyana Khazanova, OT THERAPISTNPI 1649586835

Title

OT Therapist

Phone

(646) 820-3398

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY2 enrollments

Enrollment records 2

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tatyana Khazanova, OTR/L

  • Occupational Therapist
  • Brooklyn, NY
  • NPI 1649586835
  Medicare reassignment Care Compare group NPD Authorized official
• Radoslaw Ciszewski, P.T.

  • Physical Therapist
  • Brooklyn, NY
  • NPI 1023561040
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1496275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730073600000",
    "number": "1609304807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2145 E 27TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112295059",
            "telephone_number": "646-820-3398",
            "fax_number": "718-701-1188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3101 OCEAN PKWY APT 1B",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112358413",
            "telephone_number": "646-820-3398",
            "fax_number": "718-228-7362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOBROOK OT, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-01",
        "last_updated": "2024-10-28",
        "certification_date": "2024-10-28",
        "status": "A",
        "authorized_official_last_name": "KHAZANOVA",
        "authorized_official_first_name": "TATYANA",
        "authorized_official_title_or_position": "OT THERAPIST",
        "authorized_official_telephone_number": "646-820-3398",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "OT THERAPIST"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "015672",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sergei A Sobolevsky, M.D.
• Erica Morgan Sobolow, M.S., LMHC
• John Sobran, D.M.D.
• Katelynn Marie Sobrevega
• Melissa Sobrevega, MAOT, OTR/L
• Chaya Sochet
• Cypora Sochet
• Heather Sochet, OTR/L
• Stephen Thomas Sochulak IV, PHYSICIAN ASSISTANT
• Social Butterflies Speech Services PLLC

• Occupational Therapist in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Occupational Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.