Individual provider Active NPI

Ana M Vazquez, MS, OTR/L

  • Occupational Therapist
  • Mohegan Lake, NY
National Provider Identifier
1851436620
Registry record updated Nov 2, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
5271-1 Issued in NY
Practice address
2951 Sherman CT
Mohegan Lake, NY 10547-1830
Phone
(646) 591-1054
NPI assigned
Feb 20, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 2, 2017

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 5271-1 NY Primary

Addresses

Primary practice location

2951 Sherman CT
Mohegan Lake, NY 10547-1830

Mailing address

2951 Sherman CT
Mohegan Lake, NY 10547-1830
Phone (646) 591-1054

Other practice location 1

HC 3 Box 11488
Camuy, PR 00627-9729
Phone (787) 347-0586

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190408000348 NY Practitioner - Occupational Therapist in Private Practice 5496771420 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
005271NYMDAcupuncturist
5271-1NYMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Caring SLP, Psychology, OT & Nutrition Services, PLLC CurrentSince Jan 25, 2020 Accepting new patients
Complete SLP, OT, PT & Psychology Services, PLLC CurrentSince Mar 13, 2021 Accepting new patients
Essential OT, PT, SLP & Psychology Services, PLLC CurrentSince Aug 1, 2020 Accepting new patients
Therapeutic Associates, Inc. CurrentSince Feb 10, 2019 Accepting new patients
Centro de Adultos Y Ninos Con Impedimentos Inc PastSince Jun 21, 2019 Accepting new patients
Essential Therapy Services of NJ Occupational Therapist PastSince Aug 1, 2021 Accepting new patients

Locations

17 N Plank Rd
Ste 10
Newburgh, NY 12550
Phone (845) 800-9305

Organizations & group practices 6

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": "1171929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1509580800000",
    "number": "1851436620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2951 SHERMAN CT",
            "city": "MOHEGAN LAKE",
            "state": "NY",
            "postal_code": "105471830",
            "telephone_number": "646-591-1054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2951 SHERMAN CT",
            "city": "MOHEGAN LAKE",
            "state": "NY",
            "postal_code": "105471830",
            "telephone_number": "646-591-1054"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "HC 3 Box 11488",
            "address_purpose": "LOCATION",
            "city": "Camuy",
            "state": "PR",
            "postal_code": "006279729",
            "country_code": "US",
            "telephone_number": "787-347-0586",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VAZQUEZ",
        "first_name": "ANA",
        "middle_name": "M",
        "credential": "MS, OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-20",
        "last_updated": "2017-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "5271-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mohegan Lake, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2017; 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.