Organization Active NPI

Time to Shine OT Therapy PC

  • Occupational Medicine Clinic/Center
  • Bloomingburg, NY
National Provider Identifier
1659940385
Registry record updated Jun 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Medicine Clinic/CenterTaxonomy code 261QX0100X
Legal business name
TIME TO SHINE OT THERAPY PC
Practice address
22 North Rd
Bloomingburg, NY 12721-4687
Phone
(973) 280-9115
NPI assigned
Jun 17, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2021

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

Authorized official

Name
Asher Wollner
Title
Manager
Phone
(917) 463-6533

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Medicine Clinic/Center 261QX0100X Primary

Addresses

Primary practice location

22 North Rd
Bloomingburg, NY 12721-4687

Mailing address

22 North Rd
Bloomingburg, NY 12721-4687

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1623888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623888000000",
    "number": "1659940385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 NORTH RD",
            "city": "BLOOMINGBURG",
            "state": "NY",
            "postal_code": "127214687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 NORTH RD",
            "city": "BLOOMINGBURG",
            "state": "NY",
            "postal_code": "127214687",
            "telephone_number": "973-280-9115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIME TO SHINE OT THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-17",
        "last_updated": "2021-06-17",
        "certification_date": "2021-06-17",
        "status": "A",
        "authorized_official_last_name": "WOLLNER",
        "authorized_official_first_name": "ASHER",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "917-463-6533"
    },
    "taxonomies": [
        {
            "code": "261QX0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Occupational Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomingburg, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2021; 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.