Individual provider Active NPI

Marcel Picard, OT

  • Occupational Therapist
  • Brooklyn, NY
National Provider Identifier
1851602379
Registry record updated Jun 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
004893 Issued in NY
Practice address
2647 Coney Island Ave
Brooklyn, NY 11223-5502
Phone
(718) 934-7500
NPI assigned
Jun 30, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2010

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 004893 NY Primary

Addresses

Primary practice location

2647 Coney Island Ave
Brooklyn, NY 11223-5502

Mailing address

681 Janos Lane
Lakeview, NY 11552

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100913000102 NY Practitioner - Occupational Therapist in Private Practice 5294850426 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Origin Occupational and Physical Therapy PLLCGroup PAC ID 3779759550, 2 clinicians

Practice addresses (Care Compare)

5303 Ave N
Brooklyn, NY 11234-3962
Phone (718) 676-0583

5606 Ave N
Brooklyn, NY 11234-4008
Phone (718) 676-0583

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
004893NYMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Origin Occupational & Physical Therapy PLLC Occupational Therapist CurrentSince Aug 26, 2011 Accepting new patients
Elevate Physical and Occupational Therapy PLLC Occupational Therapist CurrentSince Sep 1, 2025 Accepting new patients
Avenue S Rehab PT PC Past Accepting new patients

Locations

4624 Avenue N
Brooklyn, NY 11234
Phone (928) 586-2018

1220 E New York Ave
Brooklyn, NY 11212
Phone (718) 221-0010

Organizations & group practices 3

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": "1277856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277856000000",
    "number": "1851602379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "681 JANOS LANE",
            "city": "LAKEVIEW",
            "state": "NY",
            "postal_code": "11552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2647 CONEY ISLAND AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112235502",
            "telephone_number": "718-934-7500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PICARD",
        "first_name": "MARCEL",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-30",
        "last_updated": "2010-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "004893",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.