Individual provider Active NPI

Aret Tikiryan, OTR/L

  • Pediatric Occupational Therapist
  • New York, NY
National Provider Identifier
1801039946
Registry record updated Apr 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
0103361 Issued in NY
Practice address
910 W End Ave
1C
New York, NY 10025-3533
Phone
(212) 662-9200
NPI assigned
Apr 17, 2009
Last updated
Apr 17, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X 0103361 NY Primary

Addresses

Primary practice location

910 W End Ave
1C
New York, NY 10025-3533

Mailing address

68 Perry St Apt 1F
New York, NY 10014-3281
Phone (917) 776-4180

Other identifiers 1

IdentifierTypeStateIssuer
0103361MedicaidNY

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

State licenses

LicenseStateTypeSpecialty
0103361NYMDPediatric Occupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1239926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1239926400000",
    "number": "1801039946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "68 PERRY ST APT 1F",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100143281",
            "telephone_number": "917-776-4180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 W END AVE",
            "address_2": "1C",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100253533",
            "telephone_number": "212-662-9200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIKIRYAN",
        "first_name": "ARET",
        "name_prefix": "Mr.",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-04-17",
        "last_updated": "2009-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NY",
            "license": "0103361",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0103361",
            "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 Apr 17, 2009; 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.