Active NPI
Ana M Vazquez, MS, OTR/L
- Occupational Therapist
- Mohegan Lake, NY
National Provider Identifier
1851436620
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 5271-1
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 005271 | NY | MD | Acupuncturist |
| 5271-1 | NY | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Caring SLP, Psychology, OT & Nutrition Services, PLLC | Current | Accepting new patients | |
| Complete SLP, OT, PT & Psychology Services, PLLC | Current | Accepting new patients | |
| Essential OT, PT, SLP & Psychology Services, PLLC | Current | Accepting new patients | |
| Therapeutic Associates, Inc. | Current | Accepting new patients | |
| Centro de Adultos Y Ninos Con Impedimentos Inc | Past | Accepting new patients | |
| Essential Therapy Services of NJ | Occupational Therapist | Past | 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.
-
- Contractor
- Newburgh, NY
- NPI 1699226217
-
- Contractor
- Bronx, NY
- NPI 1437616026
-
- Contractor
- Baldwin, NY
- NPI 1093226805
-
- Clinical Social Worker
- Bronxville, NY
- NPI 1427420280
-
- Multi-Specialty Clinic/Center
- Isabela, PR
- NPI 1578534202
-
- Occupational Therapist
- Rockaway, NJ
- NPI 1730852070
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.