Individual provider Active NPI

Sean Shahin Farhadi, OTR

  • Pediatric Occupational Therapist
  • Glen Oaks, NY
National Provider Identifier
1841445830
Registry record updated Dec 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
009970 Issued in NY
Practice address
26460 73Rd Ave
Glen Oaks, NY 11004-1032
Phone
(718) 986-3649
NPI assigned
Nov 18, 2008
Last updated
Dec 27, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X 009970 NY Primary

Addresses

Primary practice location

26460 73Rd Ave
Glen Oaks, NY 11004-1032

Mailing address

26460 73Rd Ave
Glen Oaks, NY 11004-1032
Phone (718) 986-3649

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

State licenses

LicenseStateTypeSpecialty
009970NYMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Sean Farhadi O.T, P.C Past Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1226966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1293408000000",
    "number": "1841445830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26460 73RD AVE",
            "city": "GLEN OAKS",
            "state": "NY",
            "postal_code": "110041032",
            "telephone_number": "718-986-3649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26460 73RD AVE",
            "city": "GLEN OAKS",
            "state": "NY",
            "postal_code": "110041032",
            "telephone_number": "718-986-3649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARHADI",
        "first_name": "SEAN",
        "middle_name": "SHAHIN",
        "name_prefix": "Mr.",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-11-18",
        "last_updated": "2010-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NY",
            "license": "009970",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Oaks, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2010; 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.