Phoenix Occupational Therapy PC

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Legal business name

PHOENIX OCCUPATIONAL THERAPY PC

Practice address

12320 82ND Ave
Kew Gardens, NY 11415-1207

Phone

(929) 354-0337

NPI assigned

May 5, 2021

Organization subpart

No

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

Authorized official

Name

Saiat Stepanian, OT

Title

President

Phone

(917) 715-8125

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1620172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620172800000",
    "number": "1699358788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12320 82ND AVE",
            "city": "KEW GARDENS",
            "state": "NY",
            "postal_code": "114151207",
            "telephone_number": "929-354-0337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12320 82ND AVE",
            "city": "KEW GARDENS",
            "state": "NY",
            "postal_code": "114151207",
            "telephone_number": "929-354-0337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOENIX OCCUPATIONAL THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-05",
        "last_updated": "2021-05-05",
        "certification_date": "2021-05-05",
        "status": "A",
        "authorized_official_last_name": "STEPANIAN",
        "authorized_official_first_name": "SAIAT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "917-715-8125",
        "authorized_official_credential": "OT"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03241403",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Julia M Perez-Holguin
• Monica Perry, CASAC 2
• Andrew Peters, LCSW-R
• Christina Rose Petkanas
• Laura Ann Pfister
• Physio Health Ny PT,PC
• Elsa Victoria Piedrahita
• Miriam Pinchasov
• Bella Pinkatz, DDS
• Alexandra Pinkhas

• Occupational Therapist in Kew Gardens, NY
• Providers in Kew Gardens, 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 May 5, 2021; 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.