Active NPI
Stella Babakhanova
- Pediatric Occupational Therapist
- Elmhurst, NY
National Provider Identifier
1760619043
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- 014380-1
- Practice address
- 8403 57TH Ave
Elmhurst, NY 11373-4833 - Phone
- (718) 899-9060
- Fax
- (718) 899-9061
- NPI assigned
- Jun 15, 2009
- 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 |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | 014380-1 | NY | Primary |
Addresses
Primary practice location
8403 57TH Ave
Elmhurst, NY 11373-4833
Mailing address
8515 139TH St
7I
Briarwood, NY 11435-2637
Phone (718) 490-6785
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 014380-1 | NY | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Get Ready Kids Occupational Therapy, P.C. | Current | Accepting new patients | |
| Next Step Therapy Applied Behavior Analysis, PLLC | Past | Accepting new patients | |
| Emilia'S Kids | Past | Accepting new patients |
Locations
18508 Union Tpke
Ste 106
Fresh Meadows, NY 11366
Organizations & group practices 3
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.
-
- Occupational Therapist
- Richmond Hill, NY
- NPI 1255157095
-
- Early Intervention Provider Agency
- Elmhurst, NY
- NPI 1295970150
-
- Behavior Analyst
- Elmhurst, NY
- NPI 1235098286
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1245024000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1245024000000",
"number": "1760619043",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8515 139TH ST",
"address_2": "7I",
"city": "BRIARWOOD",
"state": "NY",
"postal_code": "114352637",
"telephone_number": "718-490-6785",
"fax_number": "718-899-9061"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8403 57TH AVE",
"city": "ELMHURST",
"state": "NY",
"postal_code": "113734833",
"telephone_number": "718-899-9060",
"fax_number": "718-899-9061"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BABAKHANOVA",
"first_name": "STELLA",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-06-15",
"last_updated": "2009-06-15",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "NY",
"license": "014380-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Elmhurst, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.