Elite Occupational Therapy PC

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

License

011607-1 Issued in NY

Legal business name

ELITE OCCUPATIONAL THERAPY PC

Practice address

39 White St FL 3
New York, NY 10013-3538

Phone

(917) 664-2863

NPI assigned

Jun 7, 2012

Organization subpart

No

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

Authorized official

Name

Maury Diaz, OTR/L

Title

Occupational Therapist/President

Phone

(917) 664-2863

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1339027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339027200000",
    "number": "1861754616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 WHITE ST FL 3",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100133538",
            "telephone_number": "917-664-2863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 WHITE ST FL 3",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100133538",
            "telephone_number": "917-664-2863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE OCCUPATIONAL THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-07",
        "last_updated": "2012-06-07",
        "status": "A",
        "authorized_official_last_name": "DIAZ",
        "authorized_official_first_name": "MAURY",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST/PRESIDENT",
        "authorized_official_telephone_number": "917-664-2863",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NY",
            "license": "011607-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Early Intervention Provider Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2012; 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.