Individual provider Active NPI

Abigail Ann Tuttle, OCCUPATIONAL THERAPI

  • Occupational Therapist
  • New York, NY
National Provider Identifier
1861648016
Registry record updated Feb 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
0150441 Issued in NY
Practice address
611 Broadway
Suite 908
New York, NY 10012-2608
Phone
(212) 473-0011
NPI assigned
Aug 7, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 14, 2011

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 0150441 NY Primary

Addresses

Primary practice location

611 Broadway
Suite 908
New York, NY 10012-2608

Mailing address

90 West St
Apt 22K
New York, NY 10006-1012
Phone (248) 891-6192

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
0150441NYMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1218067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1297641600000",
    "number": "1861648016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 WEST ST",
            "address_2": "APT 22K",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100061012",
            "telephone_number": "248-891-6192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 BROADWAY",
            "address_2": "SUITE 908",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100122608",
            "telephone_number": "212-473-0011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUTTLE",
        "first_name": "ABIGAIL",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "OCCUPATIONAL THERAPI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-08-07",
        "last_updated": "2011-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "0150441",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2011; 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.