Individual provider Active NPI

William Scott Intemann, MOT, OTR/L

  • Occupational Therapist
  • Bronx, NY
National Provider Identifier
1669005401
Registry record updated Feb 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
024086 Issued in NY
Practice address
1841 Lacombe Ave
Bronx, NY 10473-3632
Phone
(631) 896-7678
NPI assigned
Feb 20, 2020
Last updated
Feb 20, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2020

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 024086 NY Primary

Addresses

Primary practice location

1841 Lacombe Ave
Bronx, NY 10473-3632

Mailing address

56 Derby Ave
Greenlawn, NY 11740-2132
Phone (631) 896-7678

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

LicenseStateTypeSpecialty
024086NYMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1582156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582156800000",
    "number": "1669005401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "56 DERBY AVE",
            "city": "GREENLAWN",
            "state": "NY",
            "postal_code": "117402132",
            "telephone_number": "631-896-7678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1841 LACOMBE AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104733632",
            "telephone_number": "631-896-7678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "INTEMANN",
        "first_name": "WILLIAM",
        "middle_name": "SCOTT",
        "credential": "MOT, OTR/L",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-02-20",
        "last_updated": "2020-02-20",
        "certification_date": "2020-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "024086",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2020; 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.