Organization Active NPI

Aras Occupational Therapy PLLC

Doing business as The Neighborhood OT

  • Occupational Therapist
  • Quincy, FL
National Provider Identifier
1619497104
Registry record updated Dec 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
016573 Issued in NY
Legal business name
ARAS OCCUPATIONAL THERAPY PLLC
Doing business as
The Neighborhood OT
Practice address
315 Tillman Rd
Quincy, FL 32352-6995
Phone
(347) 749-2167
Fax
(347) 710-1292
NPI assigned
Jun 26, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2020

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

Authorized official

Name
Phaedra Mashburn-Olomo, OTR/L
Title
Owner
Phone
(347) 749-2167

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225X00000X 016573 NY Primary

Addresses

Primary practice location

315 Tillman Rd
Quincy, FL 32352-6995

Mailing address

315 Tillman Rd
Quincy, FL 32352-6995
Phone (347) 749-2167

Other names 1

  • The Neighborhood OT Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1498435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606867200000",
    "number": "1619497104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 TILLMAN RD",
            "city": "QUINCY",
            "state": "FL",
            "postal_code": "323526995",
            "telephone_number": "347-749-2167",
            "fax_number": "347-710-1292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 TILLMAN RD",
            "city": "QUINCY",
            "state": "FL",
            "postal_code": "323526995",
            "telephone_number": "347-749-2167",
            "fax_number": "347-710-1292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARAS OCCUPATIONAL THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-26",
        "last_updated": "2020-12-02",
        "certification_date": "2020-12-02",
        "status": "A",
        "authorized_official_last_name": "MASHBURN-OLOMO",
        "authorized_official_first_name": "PHAEDRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "347-749-2167",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "016573",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Neighborhood OT",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Quincy, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2020; 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.