Organization Active NPI

Occupational Therapy for Kids and Adults PC

  • Occupational Therapist
  • Woodhaven, NY
National Provider Identifier
1861659641
Registry record updated Feb 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
014839-1 Issued in NY
Legal business name
OCCUPATIONAL THERAPY FOR KIDS AND ADULTS PC
Practice address
8811 Jamaica Ave
Woodhaven, NY 11421-2039
Phone
(718) 846-2300
Fax
(718) 846-2333
NPI assigned
May 20, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2014

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

Authorized official

Name
Zlata KariyevNPI 1063690667
Title
President
Phone
(718) 440-5902

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225X00000X 014839-1 NY Primary

Addresses

Primary practice location

8811 Jamaica Ave
Woodhaven, NY 11421-2039

Mailing address

8811 Jamaica Ave
Woodhaven, NY 11421-2039
Phone (718) 846-2300

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080714000491 NY Part B Supplier - Clinic/Group Practice 0749353472 Receives reassigned benefits from 1 practitioner
Practice locations: Jackson Heights, NY

National Provider Directory

National Provider Directory
Tax ID family
Occupational Therapy for Kids and Adults PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

8110 37th Ave
Jackson Hts, NY 11372
Phone (917) 740-7473

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1211241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393200000000",
    "number": "1861659641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8811 JAMAICA AVE",
            "city": "WOODHAVEN",
            "state": "NY",
            "postal_code": "114212039",
            "telephone_number": "718-846-2300",
            "fax_number": "718-846-2333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8811 JAMAICA AVE",
            "city": "WOODHAVEN",
            "state": "NY",
            "postal_code": "114212039",
            "telephone_number": "718-846-2300",
            "fax_number": "718-846-2333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCCUPATIONAL THERAPY FOR KIDS AND ADULTS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-20",
        "last_updated": "2014-02-24",
        "status": "A",
        "authorized_official_last_name": "KARIYEV",
        "authorized_official_first_name": "ZLATA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-440-5902"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "014839-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodhaven, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2014; 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.