Individual provider Active NPI

Aicha Yuwairiah Haider, OTR/L

  • Occupational Therapist
  • Highland, NY
National Provider Identifier
1689156457
Registry record updated Aug 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
0223961 Issued in NY
Practice address
1 Wingate Way
Highland, NY 12528-2143
Phone
(845) 691-6800
NPI assigned
Aug 29, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 29, 2018

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 0223961 NY Primary

Addresses

Primary practice location

1 Wingate Way
Highland, NY 12528-2143

Mailing address

121 Burlingham Rd
Pine Bush, NY 12566-6813
Phone (917) 626-8835

Other practice location 1

25 Carrier St
Liberty, NY 12754-1903
Phone (917) 588-0561

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
0223961NYMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1535500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535500800000",
    "number": "1689156457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 BURLINGHAM RD",
            "city": "PINE BUSH",
            "state": "NY",
            "postal_code": "125666813",
            "telephone_number": "917-626-8835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 WINGATE WAY",
            "city": "HIGHLAND",
            "state": "NY",
            "postal_code": "125282143",
            "telephone_number": "845-691-6800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "25 Carrier St",
            "address_purpose": "LOCATION",
            "city": "Liberty",
            "state": "NY",
            "postal_code": "127541903",
            "country_code": "US",
            "telephone_number": "917-588-0561",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAIDER",
        "first_name": "AICHA",
        "middle_name": "YUWAIRIAH",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-29",
        "last_updated": "2018-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "0223961",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Highland, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2018; 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.