Active NPI
Sheron M Alexis-John
- Occupational Therapist
- Brooklyn, NY
National Provider Identifier
1629371901
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 013889-1
- Practice address
- 1226 E 56TH St
Brooklyn, NY 11234-3330 - Phone
- (718) 531-5068
- Fax
- (347) 374-6017
- NPI assigned
- Dec 8, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 013889-1 | NY | Primary |
| Occupational Therapist | 225X00000X | 12810 | FL |
Addresses
Primary practice location
1226 E 56TH St
Brooklyn, NY 11234-3330
Mailing address
1226 E 56TH St
Brooklyn, NY 11234-3330
Phone (718) 531-5068
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12810 | FL | MD | Chiropractor |
| 013889-1 | NY | MD | Pediatric Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1291766400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1291766400000",
"number": "1629371901",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1226 E 56TH ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112343330",
"telephone_number": "718-531-5068",
"fax_number": "347-374-6017"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1226 E 56TH ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112343330",
"telephone_number": "718-531-5068",
"fax_number": "347-374-6017"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALEXIS-JOHN",
"first_name": "SHERON",
"middle_name": "M",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-12-08",
"last_updated": "2010-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NY",
"license": "013889-1",
"primary": true
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "FL",
"license": "12810",
"primary": false
}
],
"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 Dec 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.