Conchita Solomon, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

017034-1 Issued in NY

Practice address

4302 Broadway
Island Park, NY 11558-1601

Phone

(516) 644-0674

NPI assigned

May 25, 2012

Last updated

Mar 22, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Solo Care

  • Occupational Therapist
  • Island Park, NY
  • NPI 1528915535
  Authorized official Same address or phone
• Integrated Rehab Professionals OT PT PLLC

  • Occupational Therapist
  • Fresh Meadows, NY
  • NPI 1952073074
  NPD
• Priority One Therapy PT OT SLP PLLC

  dba @Home Therapy

  • Rehabilitation Practitioner
  • Oceanside, NY
  • NPI 1447517453
  NPD (past)

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

{
    "created_epoch": "1337904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679443200000",
    "number": "1700146636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4302 BROADWAY",
            "city": "ISLAND PARK",
            "state": "NY",
            "postal_code": "115581601",
            "telephone_number": "516-644-0674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4302 BROADWAY",
            "city": "ISLAND PARK",
            "state": "NY",
            "postal_code": "115581601",
            "telephone_number": "516-644-0674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOLOMON",
        "first_name": "CONCHITA",
        "name_prefix": "Ms.",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-05-25",
        "last_updated": "2023-03-22",
        "certification_date": "2023-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "017034-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Serenity Zone LCSW PLLC
• Serenity Zone LCSW PLLC
• Robert Serwetz, M. ED.
• Sheila Peck
• Solo Care
• South Island Family Medical, LLC (South Island Medical)
• Karen Tabin
• James Vincent Thorne, DDS
• Kimberly Timm
• Jeremy Todd, DC

• Occupational Therapist in Island Park, NY
• Providers in Island Park, 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 Mar 22, 2023; 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.