Organization Active NPI

Yevgeniy Smirnov Wellness OT PC

  • Occupational Therapist
  • Brooklyn, NY
National Provider Identifier
1881124204
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
020379
Legal business name
YEVGENIY SMIRNOV WELLNESS OT PC
Practice address
1955 E 7TH St Apt B1
Brooklyn, NY 11223-3132
Phone
(347) 267-2861
NPI assigned
Jun 18, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Yevgeniy Smirnov, OT
Title
President
Phone
(347) 267-2861

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225X00000X 020379 Primary

Addresses

Primary practice location

1955 E 7TH St Apt B1
Brooklyn, NY 11223-3132

Mailing address

1955 E 7TH St Apt B1
Brooklyn, NY 11223-3132
Phone (347) 267-2861

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1497744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1881124204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1955 E 7TH ST APT B1",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112233132",
            "telephone_number": "347-267-2861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1955 E 7TH ST APT B1",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112233132",
            "telephone_number": "347-267-2861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YEVGENIY SMIRNOV WELLNESS OT PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-18",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "SMIRNOV",
        "authorized_official_first_name": "YEVGENIY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "347-267-2861",
        "authorized_official_credential": "OT"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": "020379",
            "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 Jul 21, 2022; 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.