Organization Active NPI

Live Life Rehab Occupational Therapy Services PC

  • Occupational Therapist
  • Brooklyn, NY
National Provider Identifier
1619528007
Registry record updated Sep 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Legal business name
LIVE LIFE REHAB OCCUPATIONAL THERAPY SERVICES PC
Practice address
1606 Brooklyn Ave Apt 3
Brooklyn, NY 11210-3463
NPI assigned
Sep 26, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2023

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

Authorized official

Name
Miss Jessica Cenatus, OTNPI 1598137309
Title
Owner
Phone
(347) 925-1970

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

1606 Brooklyn Ave Apt 3
Brooklyn, NY 11210-3463

Mailing address

1606 Brooklyn Ave Apt 3
Brooklyn, NY 11210-3463
Phone (347) 925-1970

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231215002790 NY Part B Supplier - Physical/Occupational Therapy Group in Private Practice 2062861057 Receives reassigned benefits from 1 practitioner
Practice locations: Brooklyn, NY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1569456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695859200000",
    "number": "1619528007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1606 BROOKLYN AVE APT 3",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112103463",
            "telephone_number": "347-925-1970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1606 BROOKLYN AVE APT 3",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112103463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVE LIFE REHAB OCCUPATIONAL THERAPY SERVICES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-26",
        "last_updated": "2023-09-28",
        "certification_date": "2022-01-27",
        "status": "A",
        "authorized_official_last_name": "CENATUS",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "347-925-1970",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "OT"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2023; 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.

Verify at the official NPI Registry.