Organization Active NPI

Great Neck Occupational Therapy

  • Pediatric Occupational Therapist
  • Great Neck, NY
National Provider Identifier
1912198342
Registry record updated Aug 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
0055861 Issued in NY
Legal business name
GREAT NECK OCCUPATIONAL THERAPY
Practice address
299 East Shore Road
Suite 201
Great Neck, NY 11023
Phone
(516) 829-4525
Fax
(516) 498-2477
NPI assigned
Aug 9, 2007
Organization subpart
Yes
Parent organization
GREAT NECK OCCUPATIONAL THERAPYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 9, 2007

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

Authorized official

Name
Mrs. Ruth Zack, MA OTRLNPI 1285825612
Title
Occupational Therapist President
Phone
(516) 829-4525

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
Pediatric Occupational TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225XP0200X 0055861 NY Primary

Addresses

Primary practice location

299 East Shore Road
Suite 201
Great Neck, NY 11023

Mailing address

299 East Shore Road
Suite 201
Great Neck, NY 11023
Phone (516) 829-4525

National Provider Directory

National Provider Directory
Part of
Great Neck Occupational Therapy

Locations

299 E Shore Rd
Ste 201
Great Neck, NY 11023
Phone (516) 829-4525

Practitioners & affiliated clinicians

Practitioners 1

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": "1186617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186617600000",
    "number": "1912198342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "299 EAST SHORE ROAD",
            "address_2": "SUITE 201",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "11023",
            "telephone_number": "516-829-4525",
            "fax_number": "516-498-2477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "299 EAST SHORE ROAD",
            "address_2": "SUITE 201",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "11023",
            "telephone_number": "516-829-4525",
            "fax_number": "516-498-2477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREAT NECK OCCUPATIONAL THERAPY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GREAT NECK OCCUPATIONAL THERAPY",
        "enumeration_date": "2007-08-09",
        "last_updated": "2007-08-09",
        "status": "A",
        "authorized_official_last_name": "ZACK",
        "authorized_official_first_name": "RUTH",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST PRESIDENT",
        "authorized_official_telephone_number": "516-829-4525",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MA OTRL"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NY",
            "license": "0055861",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Great Neck, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2007; 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.