Yulia Veretennikova

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

028033 Issued in NY

Practice address

3133 Brighton 7TH St
Apt 6CL
Brooklyn, NY 11235-6565

Phone

(718) 813-2823

NPI assigned

Feb 21, 2016

Reactivated

Nov 14, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1456012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700006400000",
    "number": "1619336567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3133 BRIGHTON 7TH ST",
            "address_2": "APT 6CL",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112356565",
            "telephone_number": "718-813-2823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3133 BRIGHTON 7TH ST",
            "address_2": "APT 6CL",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112356565",
            "telephone_number": "718-813-2823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERETENNIKOVA",
        "first_name": "YULIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-02-21",
        "last_updated": "2023-11-15",
        "certification_date": "2023-11-15",
        "deactivation_date": "2023-08-23",
        "reactivation_date": "2023-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "NY",
            "license": "008651",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "028033",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Woodley Guy Verdiner, CASAC-T
• Joseph R Verdino, PH.D.
• Thomas Angelo Verdoni, DMD
• Verdun Home Care
• Daniella B Veres, LMSW
• Pavel Veretilo, M.D.
• Daryl Nacario Vergara
• Juan Vergara
• Zachary Vergara
• Marilyn Ann Verghese, O.D.

• 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 Nov 15, 2023; 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.