Theraprime Mobility OT PC

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Legal business name

THERAPRIME MOBILITY OT PC

Practice address

2390 McDonald Ave
Brooklyn, NY 11223-4740

Phone

(718) 449-1005

Fax

(718) 449-1131

NPI assigned

Sep 3, 2010

Organization subpart

No

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

Authorized official

Name

Leonid Yagudayev, OT

Title

President

Phone

(718) 449-1005

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1283472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283472000000",
    "number": "1659688257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2390 MCDONALD AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112234740",
            "telephone_number": "718-449-1005",
            "fax_number": "718-449-1131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2390 MCDONALD AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112234740",
            "telephone_number": "718-449-1005",
            "fax_number": "718-449-1131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERAPRIME MOBILITY OT PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-03",
        "last_updated": "2010-09-03",
        "status": "A",
        "authorized_official_last_name": "YAGUDAYEV",
        "authorized_official_first_name": "LEONID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-449-1005",
        "authorized_official_credential": "OT"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Occupational Therapist in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Occupational Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 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.

Verify at the official NPI Registry.