Active NPI
Nelisha Waas, OTR/L
- Occupational Therapist
- Staten Island, NY
National Provider Identifier
1740090356
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 029774
- Practice address
- 1297 Arthur Kill Rd
Staten Island, NY 10312-1344 - Phone
- (718) 475-5270
- NPI assigned
- Jan 8, 2025
- Sex
- Female
- 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 | 029774 | NY | Primary |
Addresses
Primary practice location
1297 Arthur Kill Rd
Staten Island, NY 10312-1344
Mailing address
62 Belmont PL
Staten Island, NY 10301-1711
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1736294400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736294400000",
"number": "1740090356",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "62 BELMONT PL",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103011711"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1297 ARTHUR KILL RD",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103121344",
"telephone_number": "718-475-5270"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WAAS",
"first_name": "NELISHA",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-01-08",
"last_updated": "2025-01-08",
"certification_date": "2025-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NY",
"license": "029774",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Staten Island, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.