Organization Active NPI

Proactive OT/PT Therapy PLLC

  • Occupational Therapist
  • Brooklyn, NY
National Provider Identifier
1821467457
Registry record updated Sep 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
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, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2015

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

Authorized official

Name
Yocheved JacobNPI 1962711754
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)CodeLicenseStatePrimary
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 Directory

Locations

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.

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.

Verify at the official NPI Registry.