Active NPI
Jonathan Tianchon, OTR
- Occupational Therapist
- Huntington Station, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 019250-1
- Practice address
- 2375 New York Ave.
Huntington Station, NY 11756 - Phone
- (631) 421-9191
- Fax
- (631) 421-1979
- NPI assigned
- Nov 24, 2014
- 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 | 019250-1 | NY | Primary |
Addresses
Primary practice location
2375 New York Ave.
Huntington Station, NY 11756
Mailing address
2375 New York Ave
Suite B
Huntington Station, NY 11746-4212
Phone (516) 421-9191
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
121 Broadhollow Rd
Melville, NY 11747-4906
Phone (631) 425-1020
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 019250-1 | NY | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Professional Occupational & Physical Therapy, PLLC | Occupational Therapist | Current | Accepting new patients |
| Professional Occupational & Physical Therapy, PLLC | Occupational Therapist | Current | Accepting new patients |
| Professional Occupational & Physical Therapy, PLLC | Occupational Therapist | Current | Accepting new patients |
Locations
123 Grove Ave
Cedarhurst, NY 11516
Phone (516) 374-4248
9131 Queens Blvd
Ste 310
Elmhurst, NY 11373
Phone (718) 424-7856
121 Broadhollow Rd
Melville, NY 11747
Phone (631) 354-5600
576 Broadhollow Rd
Melville, NY 11747
2142 Utopia Pkwy
Whitestone, NY 11357
Phone (718) 767-0610
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Occupational Therapist
- Rockville Centre, NY
- NPI 1205296902
-
- Occupational Therapist
- Melville, NY
- NPI 1205386000
-
- Occupational Therapist
- Randolph, NJ
- NPI 1104376680
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1416787200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1487548800000",
"number": "1669879383",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2375 NEW YORK AVE",
"address_2": "SUITE B",
"city": "HUNTINGTON STATION",
"state": "NY",
"postal_code": "117464212",
"telephone_number": "516-421-9191",
"fax_number": "516-421-1979"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2375 NEW YORK AVE.",
"city": "HUNTINGTON STATION",
"state": "NY",
"postal_code": "11756",
"telephone_number": "631-421-9191",
"fax_number": "631-421-1979"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TIANCHON",
"first_name": "JONATHAN",
"credential": "OTR",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-11-24",
"last_updated": "2017-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NY",
"license": "019250-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Huntington Station, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.