Active NPI
SM Occupational Therapy PC
- Occupational Therapist
- Brooklyn, NY
National Provider Identifier
1619571379
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- Legal business name
- SM OCCUPATIONAL THERAPY PC
- Practice address
- 2170 E 64TH St
Brooklyn, NY 11234-6312 - Phone
- (347) 267-2336
- NPI assigned
- Nov 24, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Steven Moore, OTR/L
- Title
- Owner/Provider
- Phone
- (347) 267-2336
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | Primary |
Addresses
Primary practice location
2170 E 64TH St
Brooklyn, NY 11234-6312
Mailing address
2170 E 64TH St
Brooklyn, NY 11234-6312
Phone (347) 267-2336
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1606176000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1606176000000",
"number": "1619571379",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2170 E 64TH ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112346312",
"telephone_number": "347-267-2336"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2170 E 64TH ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112346312",
"telephone_number": "347-267-2336"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SM OCCUPATIONAL THERAPY PC",
"organizational_subpart": "NO",
"enumeration_date": "2020-11-24",
"last_updated": "2020-11-24",
"certification_date": "2020-11-24",
"status": "A",
"authorized_official_last_name": "MOORE",
"authorized_official_first_name": "STEVEN",
"authorized_official_title_or_position": "OWNER/PROVIDER",
"authorized_official_telephone_number": "347-267-2336",
"authorized_official_credential": "OTR/L"
},
"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 Nov 24, 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.