Active NPI
Proactive OT/PT Therapy PLLC
- Occupational Therapist
- Brooklyn, NY
National Provider Identifier
1821467457
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- Legal business name
- PROACTIVE OT/PT THERAPY PLLC
- Practice address
- 1470 39TH St
Brooklyn, NY 11218-3618 - Phone
- (718) 854-8844
- NPI assigned
- Sep 24, 2015
- Last updated
- Sep 24, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Yocheved Jacob
- Title
- Member
- Phone
- (718) 854-8844
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | NU | Primary |
Addresses
Primary practice location
1470 39TH St
Brooklyn, NY 11218-3618
Mailing address
1470 39TH St
Brooklyn, NY 11218-3618
Phone (718) 854-8844
National Provider Directory
National Provider DirectoryLocations
1470 39th St
Brooklyn, NY 11218
Phone (718) 633-7728
Practitioners & affiliated clinicians
Practitioners 3
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.
-
- Pediatric Occupational Therapist
- Brooklyn, NY
- NPI 1962711754
-
- Occupational Therapist
- Brooklyn, NY
- NPI 1326543620
-
- Occupational Therapist
- Brooklyn, NY
- NPI 1720444706
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1443052800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1443052800000",
"number": "1821467457",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1470 39TH ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112183618",
"telephone_number": "718-854-8844"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1470 39TH ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112183618",
"telephone_number": "718-854-8844"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PROACTIVE OT/PT THERAPY PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-09-24",
"last_updated": "2015-09-24",
"status": "A",
"authorized_official_last_name": "JACOB",
"authorized_official_first_name": "YOCHEVED",
"authorized_official_title_or_position": "MEMBER",
"authorized_official_telephone_number": "718-854-8844"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"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 Sep 24, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.