Pranulin Phrommavanh, OTD, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

6289 Issued in CT

Practice address

161 6TH Ave
New York, NY 10013-1205

Phone

(646) 847-1686

NPI assigned

Oct 10, 2024

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

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

{
    "created_epoch": "1728518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782172800000",
    "number": "1730909235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 MARGUY ST",
            "city": "QUAKER HILL",
            "state": "CT",
            "postal_code": "063751121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "161 6TH AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100131205",
            "telephone_number": "646-847-1686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHROMMAVANH",
        "first_name": "PRANULIN",
        "credential": "OTD, OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-10-10",
        "last_updated": "2026-06-23",
        "certification_date": "2026-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CT",
            "license": "6289",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Veerawat Phongtankuel, M.D.
• Colin Phoon, M.D.
• Phumlarp Phoromyen, LAC
• Punyadech Photangtham, MD
• Photon Medical Group
• Phronetic Psychotherapy LCSW PC
• Kristina Phu, DPT
• Waikhine Phu
• Calvin Phung, FNP
• Phung Thien Phung, MD

• Occupational Therapist in New York, NY
• Providers in New York, 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 Jun 23, 2026; 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.