Active NPI
Larissa Beltrao Gomes, OT
- Occupational Therapist
- Weehawken, NJ
National Provider Identifier
1871719534
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 9147
- Practice address
- 522 Gregory Ave Apt B305
Weehawken, NJ 07086-5750 - Phone
- (646) 431-1739
- NPI assigned
- Apr 18, 2007
- Last updated
- Dec 9, 2014
- 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 | 9147 | NY | Primary |
Addresses
Primary practice location
522 Gregory Ave Apt B305
Weehawken, NJ 07086-5750
Mailing address
522 Gregory Ave Apt B305
Weehawken, NJ 07086-5750
Phone (646) 431-1739
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
| License | State | Type | Specialty |
|---|---|---|---|
| 9147 | NY | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176854400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1418083200000",
"number": "1871719534",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "522 GREGORY AVE APT B305",
"city": "WEEHAWKEN",
"state": "NJ",
"postal_code": "070865750",
"telephone_number": "646-431-1739"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "522 GREGORY AVE APT B305",
"city": "WEEHAWKEN",
"state": "NJ",
"postal_code": "070865750",
"telephone_number": "646-431-1739"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOMES",
"first_name": "LARISSA",
"middle_name": "BELTRAO",
"name_prefix": "Mrs.",
"credential": "OT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-18",
"last_updated": "2014-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NY",
"license": "9147",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Weehawken, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.