Organization Active NPI

Fast Track Occupational Therapy PC

  • Occupational Therapist
  • Brooklyn, NY
National Provider Identifier
1801134366
Registry record updated Jan 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Legal business name
FAST TRACK OCCUPATIONAL THERAPY PC
Practice address
4111 18TH Ave
Ste 12
Brooklyn, NY 11218-5894
Phone
(718) 998-3020
Fax
(718) 998-9059
NPI assigned
Jan 17, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2013

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

Authorized official

Name
Anna Nekhanevich, OT
Title
President
Phone
(718) 998-3020

Specialties & licenses 1

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

Addresses

Primary practice location

4111 18TH Ave
Ste 12
Brooklyn, NY 11218-5894

Mailing address

1656 E 12TH St
Brooklyn, NY 11229-1012
Phone (718) 998-3020

Other identifiers 1

IdentifierTypeStateIssuer
015491OtherNYLICENSE

National Provider Directory

National Provider Directory

Locations

1656 E 12th St
Brooklyn, NY 11229

NPI Registry JSON

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

{
    "created_epoch": "1358380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358380800000",
    "number": "1801134366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1656 E 12TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112291012",
            "telephone_number": "718-998-3020",
            "fax_number": "718-998-3020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4111 18TH AVE",
            "address_2": "STE 12",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112185894",
            "telephone_number": "718-998-3020",
            "fax_number": "718-998-9059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAST TRACK OCCUPATIONAL THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-17",
        "last_updated": "2013-01-17",
        "status": "A",
        "authorized_official_last_name": "NEKHANEVICH",
        "authorized_official_first_name": "ANNA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-998-3020",
        "authorized_official_credential": "OT"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "015491",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2013; 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.