Active NPI
Albert Villacorta
- Occupational Therapist
- Woodside, NY
National Provider Identifier
1710164553
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 014898
- Practice address
- 4318 55TH St
Woodside, NY 11377-4610 - Phone
- (212) 221-1544
- NPI assigned
- Jan 23, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 014898 | NY | Primary |
Addresses
Primary practice location
4318 55TH St
Woodside, NY 11377-4610
Mailing address
4318 55TH St
Woodside, NY 11377-4610
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 014898 | NY | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1201046400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1201046400000",
"number": "1710164553",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4318 55TH ST",
"city": "WOODSIDE",
"state": "NY",
"postal_code": "113774610"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4318 55TH ST",
"city": "WOODSIDE",
"state": "NY",
"postal_code": "113774610",
"telephone_number": "212-221-1544"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VILLACORTA",
"first_name": "ALBERT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-01-23",
"last_updated": "2008-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NY",
"license": "014898",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Woodside, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.