Independent Living Facilitators

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

016349 Issued in NY

Legal business name

INDEPENDENT LIVING FACILITATORS

Practice address

1523 73Rd St
2ND Floor
Brooklyn, NY 11228-2113

Phone

(631) 834-9796

NPI assigned

Jul 15, 2011

Last updated

Jul 15, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Johanna A. Campo, MS, OTR/LNPI 1134421373

Title

Occupational Therapist

Phone

(631) 834-9796

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Johanna Campo, MS, OTR/L

  • Pediatric Occupational Therapist
  • Brooklyn, NY
  • NPI 1134421373
  NPD (past) Authorized official

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

{
    "created_epoch": "1310688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1310688000000",
    "number": "1699063321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1523 73RD ST",
            "address_2": "2ND FLOOR",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112282113",
            "telephone_number": "631-834-9796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1523 73RD ST",
            "address_2": "2ND FLOOR",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112282113",
            "telephone_number": "631-834-9796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDEPENDENT LIVING FACILITATORS",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-15",
        "last_updated": "2011-07-15",
        "status": "A",
        "authorized_official_last_name": "CAMPO",
        "authorized_official_first_name": "JOHANNA",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "631-834-9796",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MS, OTR/L"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "016349",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anna Indenbaum, RPH
• Independence Care System, Inc.
• Independence Care System, Inc.
• Independence Care System, Inc.
• Independent Living Association, Inc.
• Independent PT Care PC
• Independent Success
• Judith Indich, CCC - SLP
• Naomi Indich, CPNP
• Michael Indig

• Occupational Therapist in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Occupational Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2011; 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.