Active NPI
Nicholas Searle, MSOTR/L
- Occupational Therapist
- Bronx, NY
National Provider Identifier
1619362464
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 019589
- Practice address
- 1400 Pelham Pkwy S
BS33
Bronx, NY 10461-1138 - Phone
- (718) 918-3044
- Fax
- (718) 918-0469
- NPI assigned
- Mar 30, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 019589 | NY | Primary |
Addresses
Primary practice location
1400 Pelham Pkwy S
BS33
Bronx, NY 10461-1138
Mailing address
1400 Pelham Pkwy S
BS33
Bronx, NY 10461-1138
Phone (718) 918-3044
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20181219002589 | NY | Practitioner - Occupational Therapist in Private Practice | 0547505547 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 019589 | NY | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1427673600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1427673600000",
"number": "1619362464",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1400 PELHAM PKWY S",
"address_2": "BS33",
"city": "BRONX",
"state": "NY",
"postal_code": "104611138",
"telephone_number": "718-918-3044",
"fax_number": "718-918-0469"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 PELHAM PKWY S",
"address_2": "BS33",
"city": "BRONX",
"state": "NY",
"postal_code": "104611138",
"telephone_number": "718-918-3044",
"fax_number": "718-918-0469"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEARLE",
"first_name": "NICHOLAS",
"credential": "MSOTR/L",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-03-30",
"last_updated": "2015-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NY",
"license": "019589",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2015; 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.