Individual provider Active NPI

Tzipora Wurem, OTR/L

  • Pediatric Occupational Therapist
  • Rego Park, NY
National Provider Identifier
1699041103
Registry record updated Mar 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
011100 Issued in NY
Practice address
6510 Dieterle Cres
Rego Park, NY 11374-5029
Phone
(718) 897-7006
Fax
(718) 897-7254
NPI assigned
Mar 29, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 29, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X 011100 NY Primary

Addresses

Primary practice location

6510 Dieterle Cres
Rego Park, NY 11374-5029

Mailing address

6510 Dieterle Cres
Rego Park, NY 11374-5029
Phone (718) 897-7006

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
011100NYMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1332979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332979200000",
    "number": "1699041103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6510 DIETERLE CRES",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113745029",
            "telephone_number": "718-897-7006",
            "fax_number": "718-897-7254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6510 DIETERLE CRES",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113745029",
            "telephone_number": "718-897-7006",
            "fax_number": "718-897-7254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WUREM",
        "first_name": "TZIPORA",
        "name_prefix": "Mrs.",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-03-29",
        "last_updated": "2012-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NY",
            "license": "011100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rego Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2012; 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.