NPIMap

Organization Active NPI

Stony Brook Occupational Therapy

  • Occupational Therapist
  • Stony Brook, NY
National Provider Identifier
1801508387
Registry record updated Dec 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Legal business name
STONY BROOK OCCUPATIONAL THERAPY
Practice address
207 Hallock Rd Ste 209
Stony Brook, NY 11790-3082
Phone
(347) 820-4857
NPI assigned
Dec 15, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2022

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

Authorized official

Name
Ah-Hyun KimNPI 1508210584
Title
Owner
Phone
(347) 820-4857

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

207 Hallock Rd Ste 209
Stony Brook, NY 11790-3082

Mailing address

207 Hallock Rd Ste 209
Stony Brook, NY 11790-3082

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1671062400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1671062400000",
    "number": "1801508387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 HALLOCK RD STE 209",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117903082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 HALLOCK RD STE 209",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117903082",
            "telephone_number": "347-820-4857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STONY BROOK OCCUPATIONAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-15",
        "last_updated": "2022-12-15",
        "certification_date": "2022-12-15",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "AH-HYUN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "347-820-4857"
    },
    "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 Stony Brook, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2022; 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.