Organization Active NPI

Jose Alex Arevalo O.T.P.C.

  • Occupational Therapist
  • Bethpage, NY
National Provider Identifier
1770220394
Registry record updated May 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Legal business name
JOSE ALEX AREVALO O.T.P.C.
Practice address
657 Stewart Ave
Bethpage, NY 11714-2712
Phone
(151) 650-7812
NPI assigned
May 16, 2022
Last updated
May 15, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2023

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

Authorized official

Name
Jose Alex Arevalo, OTR/LNPI 1255862199
Title
Occupational Therapy
Phone
(516) 507-8126

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225X00000X Primary

Addresses

Primary practice location

657 Stewart Ave
Bethpage, NY 11714-2712

Mailing address

657 Stewart Ave
Bethpage, NY 11714-2712
Phone (151) 650-7812

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1652659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684108800000",
    "number": "1770220394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "657 STEWART AVE",
            "city": "BETHPAGE",
            "state": "NY",
            "postal_code": "117142712",
            "telephone_number": "151-650-7812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "657 STEWART AVE",
            "city": "BETHPAGE",
            "state": "NY",
            "postal_code": "117142712",
            "telephone_number": "151-650-7812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSE ALEX AREVALO O.T.P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-16",
        "last_updated": "2023-05-15",
        "certification_date": "2023-05-15",
        "status": "A",
        "authorized_official_last_name": "AREVALO",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "ALEX",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPY",
        "authorized_official_telephone_number": "516-507-8126",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethpage, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2023; 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.