Individual provider Active NPI

Victoria Vaysman, OTR/L

  • Occupational Therapist
  • Brooklyn, NY
National Provider Identifier
1629164843
Registry record updated Jan 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
010346 Issued in NY
Practice address
2876 W 27TH St
Brooklyn, NY 11224-2812
Phone
(718) 265-2222
Fax
(718) 333-1023
NPI assigned
Oct 5, 2006
Last updated
Jan 8, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 8, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 010346 NY Primary

Addresses

Primary practice location

2876 W 27TH St
Brooklyn, NY 11224-2812

Mailing address

458 Beach 142 STR
Rockaway Park, NY 11694
Phone (347) 727-2527

Other identifiers 1

IdentifierTypeStateIssuer
02810479MedicaidNY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051118000267 NY Practitioner - Occupational Therapist in Private Practice 4486672367 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Back to Health Physical Therapy, PCGroup PAC ID 5193782621, 4 clinicians
Golden Touch Physical Therapy PLLCGroup PAC ID 9335194000, 4 clinicians
Road to Recovery Physical Therapy, P.C.Group PAC ID 8022295096, 22 clinicians

Practice addresses (Care Compare)

1731 Seagirt Blvd
Far Rockaway, NY 11691-4513
Phone (718) 868-8668

2876 W 27 St
Brooklyn, NY 11224-2812
Phone (718) 265-2222

535 Flushing Ave
Brooklyn, NY 11205-1610
Phone (781) 488-7272

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
010346NYMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Road to Recovery Physical Therapy, P.C. Occupational Therapist CurrentSince Jan 1, 2018 Accepting new patients

Locations

2876 W 27th St
Brooklyn, NY 11224
Phone (718) 265-2222

535 Flushing Ave
Brooklyn, NY 11205
Phone (781) 488-7272

1731 Seagirt Blvd
Far Rockaway, NY 11691
Phone (718) 471-5400

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1199750400000",
    "number": "1629164843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "458 BEACH 142 STR",
            "city": "ROCKAWAY PARK",
            "state": "NY",
            "postal_code": "11694",
            "telephone_number": "347-727-2527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2876 W 27TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112242812",
            "telephone_number": "718-265-2222",
            "fax_number": "718-333-1023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAYSMAN",
        "first_name": "VICTORIA",
        "name_prefix": "Mrs.",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-05",
        "last_updated": "2008-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "010346",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02810479",
            "state": "NY"
        }
    ],
    "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 Jan 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.