NPIMap

Organization Active NPI

OT Access PC

  • Occupational Therapist
  • Richmond Hill, NY
National Provider Identifier
1770828238
Registry record updated Dec 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Legal business name
OT ACCESS PC
Practice address
11524 Myrtle Ave
Richmond Hill, NY 11418-1717
Phone
(347) 201-5111
Fax
(347) 547-3093
NPI assigned
Dec 10, 2012
Last updated
Dec 5, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2019

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

Authorized official

Name
Ms. Jennifer Miguel Delos Santos, OTR/LNPI 1154551414
Title
Occupational Therapist/Owner
Phone
(347) 443-6524

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 Therapist 225X00000X NU Primary

Addresses

Primary practice location

11524 Myrtle Ave
Richmond Hill, NY 11418-1717

Mailing address

15218 Union Tpke
Apt 12N
Flushing, NY 11367-3921

Other practice location 1

16040 78th Rd
Suite 101
Fresh Meadows, NY 11366-1945
Phone (718) 380-4278

Other identifiers 1

IdentifierTypeStateIssuer
03548969MedicaidNY

National Provider Directory

National Provider Directory

Locations

16040 78th Rd
#101
Flushing, NY 11366
Phone (718) 380-4278

16040 78th Rd
Ste 101
Fresh Meadows, NY 11366
Phone (718) 380-4278

Practitioners & affiliated clinicians

Practitioners 2

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": "1355097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1575504000000",
    "number": "1770828238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15218 UNION TPKE",
            "address_2": "APT 12N",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113673921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11524 MYRTLE AVE",
            "city": "RICHMOND HILL",
            "state": "NY",
            "postal_code": "114181717",
            "telephone_number": "347-201-5111",
            "fax_number": "347-547-3093"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16040 78th Rd",
            "address_2": "Suite 101",
            "address_purpose": "LOCATION",
            "city": "Fresh Meadows",
            "state": "NY",
            "postal_code": "113661945",
            "country_code": "US",
            "telephone_number": "718-380-4278",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "OT ACCESS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-10",
        "last_updated": "2019-12-05",
        "status": "A",
        "authorized_official_last_name": "DELOS SANTOS",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "MIGUEL",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST/OWNER",
        "authorized_official_telephone_number": "347-443-6524",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03548969",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond Hill, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2019; 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.