Organization Active NPI

Kidapillar Occupational Therapy, PC

  • Occupational Therapist
  • Flushing, NY
National Provider Identifier
1831469626
Registry record updated Jan 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
005017 Issued in NY
Legal business name
KIDAPILLAR OCCUPATIONAL THERAPY, PC
Practice address
149-23 Sanford Ave.,
Suite A1
Flushing, NY 11355
Phone
(718) 813-4770
Fax
(516) 482-1257
NPI assigned
Jan 10, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2012

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

Authorized official

Name
Ms. Flora Tsang, MA, OTR/LNPI 1164677522
Title
Director
Phone
(718) 813-4770

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 005017 NY Primary

Addresses

Primary practice location

149-23 Sanford Ave.,
Suite A1
Flushing, NY 11355

Mailing address

258-05 Pembroke Ave.,
Great Neck, NY 11020
Phone (718) 813-4770

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130516000544 NY Part B Supplier - Clinic/Group Practice 6103063862 Receives reassigned benefits from 1 practitioner
Practice locations: Flushing, NY; Elmhurst, NY

National Provider Directory

National Provider Directory

Locations

13616 35th Ave
Ste C1B
Flushing, NY 11354

14923 Sanford Ave
Ste A1
Flushing, NY 11355
Phone (718) 813-4770

13616 35th Ave
Ste 1D
Flushing, NY 11354
Phone (718) 939-8600

13639 37th Ave
Flushing, NY 11354
Phone (718) 886-8175

13320 41st Ave
Flushing, NY 11355

Practitioners & affiliated clinicians

Practitioners 2

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": "1326153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326153600000",
    "number": "1831469626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "258-05 PEMBROKE AVE.,",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "11020",
            "telephone_number": "718-813-4770",
            "fax_number": "516-482-1257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "149-23 SANFORD AVE.,",
            "address_2": "SUITE A1",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "11355",
            "telephone_number": "718-813-4770",
            "fax_number": "516-482-1257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDAPILLAR OCCUPATIONAL THERAPY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-10",
        "last_updated": "2012-01-10",
        "status": "A",
        "authorized_official_last_name": "TSANG",
        "authorized_official_first_name": "FLORA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "718-813-4770",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MA, OTR/L"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "005017",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.