Individual provider Active NPI

Klever Moises Vasquez Alvarado, OTR/L

  • Occupational Therapist
  • Corona, NY
National Provider Identifier
1609497619
Registry record updated Apr 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
024714 Issued in NY
Practice address
11112 42ND Ave
Corona, NY 11368-2620
Phone
(347) 610-6297
NPI assigned
Apr 30, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 30, 2020

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 024714 NY Primary

Addresses

Primary practice location

11112 42ND Ave
Corona, NY 11368-2620

Mailing address

11112 42ND Ave
Corona, NY 11368-2620
Phone (347) 610-6297

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200515000802 NY Practitioner - Occupational Therapist in Private Practice 0345671962 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lakshmi PT OT SLP Massage Consultants PLLCGroup PAC ID 7719202274, 3 clinicians

Practice addresses (Care Compare)

509 Merrick Rd
Rockville Centre, NY 11570-5436
Phone (516) 442-1055

7649 Hewlett St
New Hyde Park, NY 11040-1429
Phone (212) 388-0767

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
New York Physical and Occupational Therapy Services, PLLC Occupational Therapist CurrentSince May 12, 2020 Accepting new patients
Nexus Rehab Occupational Therapy PLLC Occupational Therapist Current Accepting new patients
Lakshmi PT OT SLP Massage Consultants PLLC Occupational Therapist CurrentSince Jul 1, 2024 Accepting new patients
MHH Psychology and Speech-Language Pathology Therapy Services PLLC CurrentSince Jul 1, 2025 Accepting new patients
New York City Health and Hospitals Corporation Current Accepting new patients
New York City Health and Hospitals Corporation CurrentSince Sep 1, 2020 Accepting new patients
New York City Health and Hospitals Corporation Occupational Therapist CurrentSince Sep 1, 2020 Accepting new patients

Locations

50 Court St
Ste 508A
Brooklyn, NY 11201
Phone (516) 557-3170

2579 Ocean Ave
Fl 3
Brooklyn, NY 11229
Phone (646) 780-0925

7901 Broadway
Flushing, NY 11373
Phone (718) 334-2156

8268 164th St
Jamaica, NY 11432
Phone (718) 883-2929

354 Fort Washington Ave
New York, NY 10033
Phone (212) 781-0100

520 W 218th St
New York, NY 10034
Phone (212) 304-1755

50 Water St
Fl 3
New York, NY 10004

509 Merrick Rd
Rockville Ctr, NY 11570
Phone (516) 442-1055

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": "1588204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588204800000",
    "number": "1609497619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11112 42ND AVE",
            "city": "CORONA",
            "state": "NY",
            "postal_code": "113682620",
            "telephone_number": "347-610-6297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11112 42ND AVE",
            "city": "CORONA",
            "state": "NY",
            "postal_code": "113682620",
            "telephone_number": "347-610-6297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VASQUEZ ALVARADO",
        "first_name": "KLEVER",
        "middle_name": "MOISES",
        "name_prefix": "Mr.",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-04-30",
        "last_updated": "2020-04-30",
        "certification_date": "2020-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "024714",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corona, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2020; 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.