Active NPI
Jose Alex Arevalo O.T.P.C.
- Occupational Therapist
- Bethpage, NY
National Provider Identifier
1770220394
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- 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, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jose Alex Arevalo, OTR/L
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 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 DirectoryPractitioners & 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.
-
- Pediatric Occupational Therapist
- Bethpage, NY
- NPI 1255862199
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.