Functional Occupational Therapy Solutions, PLLC

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

015493-1 Issued in NY

Legal business name

FUNCTIONAL OCCUPATIONAL THERAPY SOLUTIONS, PLLC

Practice address

9525 Jamaica Ave
Woodhaven, NY 11421-2268

Phone

(718) 441-4070

Fax

(718) 441-4027

NPI assigned

Dec 30, 2009

Organization subpart

No

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

Authorized official

Name

Ms. Polina Starr, OTR/LNPI 1346473253

Title

Occupational Therapist

Phone

(718) 578-9786

Specialties & licenses 2

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Polina Starr, OTR/L

  • Physical Rehabilitation Occupational Therapist
  • Richmond Hill, NY
  • NPI 1346473253
  Authorized official Same address or phone

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

{
    "created_epoch": "1262131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294876800000",
    "number": "1619207479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8384 116TH ST",
            "address_2": "SUITE",
            "city": "RICHMOND HILL",
            "state": "NY",
            "postal_code": "114183470",
            "telephone_number": "718-578-9786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9525 JAMAICA AVE",
            "city": "WOODHAVEN",
            "state": "NY",
            "postal_code": "114212268",
            "telephone_number": "718-441-4070",
            "fax_number": "718-441-4027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FUNCTIONAL OCCUPATIONAL THERAPY SOLUTIONS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-30",
        "last_updated": "2011-01-13",
        "status": "A",
        "authorized_official_last_name": "STARR",
        "authorized_official_first_name": "POLINA",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "718-578-9786",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "225XP0019X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Physical Rehabilitation",
            "state": "NY",
            "license": "015493-1",
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NY",
            "license": "015493-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03204139",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Pediatric Occupational Therapist in Woodhaven, NY
• Providers in Woodhaven, NY by specialty
• Pediatric Occupational Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2011; 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.