Individual provider Active NPI

Liana Khaimova

  • Occupational Therapist
  • Flushing, NY
National Provider Identifier
1831673243
Registry record updated Dec 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Practice address
13671 72ND Ave
Flushing, NY 11367-2327
Phone
(917) 828-3131
NPI assigned
Sep 20, 2018
Reactivated
Dec 11, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X Primary

Addresses

Primary practice location

13671 72ND Ave
Flushing, NY 11367-2327

Mailing address

13671 72ND Ave
Flushing, NY 11367-2327
Phone (917) 828-3131

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Rehab on Wheels OT PT PLLC Occupational Therapist CurrentSince Oct 7, 2024 Accepting new patients
Prokinetics Physical Therapy P.C. CurrentSince Oct 7, 2024 Accepting new patients

Locations

8419 Bay Pkwy
Brooklyn, NY 11214
Phone (718) 259-0199

174 Bay 29th St
Ste C1
Brooklyn, NY 11214
Phone (646) 750-4455

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1537401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544486400000",
    "number": "1831673243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13671 72ND AVE",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113672327",
            "telephone_number": "917-828-3131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13671 72ND AVE",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113672327",
            "telephone_number": "917-828-3131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAIMOVA",
        "first_name": "LIANA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-20",
        "last_updated": "2018-12-11",
        "deactivation_date": "2018-09-22",
        "reactivation_date": "2018-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "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 Dec 11, 2018; 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.