Nelli Bardanova

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

018931 Issued in NY

Practice address

7907 Metropolitan Ave
Middle Village, NY 11379-2930

Phone

(917) 745-0470

NPI assigned

Jun 19, 2014

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Nelli Bardanova Other name

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

0 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

0

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Motion Rehabilitation OT PC

  • Occupational Therapist
  • Brooklyn, NY
  • NPI 1780319137
  Medicare reassignment NPD Authorized official
• Ats Rehab OT & PT & SLP PLLC

  • Occupational Therapist
  • Long Beach, NY
  • NPI 1841711454
  Medicare reassignment NPD
• Beacon Speech-Language Pathology Physical and Occupational Therapy

  • Community/Behavioral Health Agency
  • Roslyn, NY
  • NPI 1932266350
  Medicare reassignment NPD
• Caring SLP, Psychology, OT & Nutrition Services, PLLC

  • Contractor
  • Newburgh, NY
  • NPI 1699226217
  Medicare reassignment NPD
• High Impact Occupational Therapy PC

  • Occupational Therapist
  • Staten Island, NY
  • NPI 1346647385
  Medicare reassignment NPD
• Priority One Therapy PT OT SLP PLLC

  • Rehabilitation Practitioner
  • Oceanside, NY
  • NPI 1447517453
  Medicare reassignment NPD
• W Rehabilitation Associates PT & OT PLLC

  • Occupational Therapist
  • Brooklyn, NY
  • NPI 1740714435
  Medicare reassignment NPD
• Garas Physical Therapy PC

  • Physical Therapist
  • Brooklyn, NY
  • NPI 1942866710
  NPD
• Wellness in Motion Occupational Therapy PC

  • Occupational Therapist
  • Flushing, NY
  • NPI 1225565815
  NPD (past)

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

{
    "created_epoch": "1403136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579737600000",
    "number": "1740694587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9805 63RD RD",
            "address_2": "APT 5B",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113741744",
            "telephone_number": "917-679-2040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7907 METROPOLITAN AVE",
            "city": "MIDDLE VILLAGE",
            "state": "NY",
            "postal_code": "113792930",
            "telephone_number": "917-745-0470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARDANOVA",
        "first_name": "NELLI",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-19",
        "last_updated": "2020-01-23",
        "certification_date": "2020-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "018931",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04299161",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NELLI",
            "last_name": "BARDANOVA",
            "credential": "OTR",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Hernan Ayala, COTA
• Jennifer Lucy Bachmann, COTA
• Jo Nonino Sarceno Banez, RPT
• Anatoliy Barak, D.M.D.
• Emily Ann Barber
• Erin Baumann
• Behavioral Services, Inc
• Courtney Michele Beirne, B.A.
• Anthony Benson
• Sharon Bernardez, PT

• Occupational Therapist in Middle Village, NY
• Providers in Middle Village, 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 Jan 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.