Active NPI
Stacey V Mislavsky, MS, OTR/L
- Occupational Therapist
- New York, NY
National Provider Identifier
1780991950
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 0146401
- Practice address
- 425 Main St
Apt 11K
New York, NY 10044-0238 - Phone
- (443) 695-3392
- NPI assigned
- Sep 8, 2010
- 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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 0146401 | NY | Primary |
Addresses
Primary practice location
425 Main St
Apt 11K
New York, NY 10044-0238
Mailing address
425 Main St
Apt 11K
New York, NY 10044-0238
Phone (443) 695-3392
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0146401 | Other | NY | NEW YORK DEPARTMENT OF EDUCATION OCCUPATIONAL THERAPY LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0146401 | NY | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1283904000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1283904000000",
"number": "1780991950",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "425 MAIN ST",
"address_2": "APT 11K",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100440238",
"telephone_number": "443-695-3392"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "425 MAIN ST",
"address_2": "APT 11K",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100440238",
"telephone_number": "443-695-3392"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MISLAVSKY",
"first_name": "STACEY",
"middle_name": "V",
"name_prefix": "Mrs.",
"credential": "MS, OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-09-08",
"last_updated": "2010-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NY",
"license": "0146401",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NEW YORK DEPARTMENT OF EDUCATION OCCUPATIONAL THERAPY LICENSE",
"identifier": "0146401",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.