Active NPI
Great Neck Occupational Therapy
- Pediatric Occupational Therapist
- Great Neck, NY
National Provider Identifier
1912198342
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- 0055861
- 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 THERAPY
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Ruth Zack, MA OTRL
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 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.