John Eboli, M.A. OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

012186-1 Issued in NY

Practice address

2828 Lasalle Ave
Bronx, NY 10461-5916

Phone

(718) 938-3302

NPI assigned

Mar 3, 2010

Sex

Male

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)

Not enrolled

Credentials

Master of Arts

State licenses

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.

• Integrated Occupational Therapy Services

  • Contractor
  • Larchmont, NY
  • NPI 1104102698
  Authorized official Same address or phone

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

{
    "created_epoch": "1267574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1267660800000",
    "number": "1740503820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2828 LASALLE AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104615916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2828 LASALLE AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104615916",
            "telephone_number": "718-938-3302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EBOLI",
        "first_name": "JOHN",
        "name_prefix": "Mr.",
        "credential": "M.A. OTR/L",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-03-03",
        "last_updated": "2010-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "012186-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Ann Eberhart, SLP
• Kaitlin Ebersol
• Chika Roseline Ebinum, RN
• Samantha Tyler Eble
• Mary Eboh
• Rebecca Shaina Eboli
• Ebon Is LLC
• Ebony Eyes Community Services Center Inc.
• Maria Charisse Ebora, RN
• Esokpan James Ebose, PH.D. CLT

• Occupational Therapist in Bronx, NY
• Providers in Bronx, 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 4, 2010; 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.