Active NPI
Awarish Khawaja
- Occupational Therapy Assistant
- Palm Coast, FL
National Provider Identifier
1710354618
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 008745-1
- Practice address
- 210 Pritchard Dr
Palm Coast, FL 32164-7103 - Phone
- (718) 687-2951
- NPI assigned
- Aug 26, 2015
- Sex
- Female
- Sole proprietor
- Yes
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 Therapy Assistant | 224Z00000X | 008745-1 | NY | Primary |
Addresses
Primary practice location
210 Pritchard Dr
Palm Coast, FL 32164-7103
Mailing address
210 Pritchard Dr
Palm Coast, FL 32164-7103
Phone (718) 687-2951
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 008745-1 | Other | NY | NEW YORK STATE EDUCATION DEPARTMENT, DIVISION OF PROFESSIONAL LICENSING SERVICES |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 008745-1 | NY | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1440547200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1440547200000",
"number": "1710354618",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "210 PRITCHARD DR",
"city": "PALM COAST",
"state": "FL",
"postal_code": "321647103",
"telephone_number": "718-687-2951"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "210 PRITCHARD DR",
"city": "PALM COAST",
"state": "FL",
"postal_code": "321647103",
"telephone_number": "718-687-2951"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHAWAJA",
"first_name": "AWARISH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-08-26",
"last_updated": "2015-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "NY",
"license": "008745-1",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NEW YORK STATE EDUCATION DEPARTMENT, DIVISION OF PROFESSIONAL LICENSING SERVICES",
"identifier": "008745-1",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Palm Coast, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.