Active NPI
Frederick Ige, OTR/L
- Occupational Therapist
- Brooklyn, NY
National Provider Identifier
1639569445
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 019384-1
- Practice address
- 1651 Coney Island Ave
Brooklyn, NY 11230-5849 - Phone
- (718) 998-1415
- Fax
- (718) 627-1855
- NPI assigned
- Feb 1, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 019384-1 | NY | Primary |
Addresses
Primary practice location
1651 Coney Island Ave
Brooklyn, NY 11230-5849
Mailing address
1051 Hendrix St
Brooklyn, NY 11207-9103
Phone (347) 235-2163
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 019384-1 | NY | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1422748800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1422748800000",
"number": "1639569445",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1051 HENDRIX ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112079103",
"telephone_number": "347-235-2163"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1651 CONEY ISLAND AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112305849",
"telephone_number": "718-998-1415",
"fax_number": "718-627-1855"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IGE",
"first_name": "FREDERICK",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-02-01",
"last_updated": "2015-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NY",
"license": "019384-1",
"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 Feb 1, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.