Active NPI
Stanley Sanchez
- Occupational Therapy Assistant
- Kew Gardens, NY
National Provider Identifier
1891507851
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 011275
- Practice address
- 12510 Queens Blvd Ste 218
Kew Gardens, NY 11415-1506 - Phone
- (718) 593-4121
- NPI assigned
- Jan 24, 2025
- Sex
- Male
- Sole proprietor
- No
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 Therapy Assistant | 224Z00000X | 011275 | NY | Primary |
Addresses
Primary practice location
12510 Queens Blvd Ste 218
Kew Gardens, NY 11415-1506
Mailing address
3225 83Rd St
East Elmhurst, NY 11370-2007
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 |
|---|---|---|---|
| 011275 | NY | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1737676800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1739232000000",
"number": "1891507851",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3225 83RD ST",
"city": "EAST ELMHURST",
"state": "NY",
"postal_code": "113702007"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12510 QUEENS BLVD STE 218",
"city": "KEW GARDENS",
"state": "NY",
"postal_code": "114151506",
"telephone_number": "718-593-4121"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANCHEZ",
"first_name": "STANLEY",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-01-24",
"last_updated": "2025-02-11",
"certification_date": "2025-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "NY",
"license": "011275",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kew Gardens, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.