Island One Occupational Therapy, PC

Primary specialty

Occupational Medicine Clinic/CenterTaxonomy code 261QX0100X

Legal business name

ISLAND ONE OCCUPATIONAL THERAPY, PC

Practice address

2769 Coney Island Ave Ste 1B
Brooklyn, NY 11235-5051

Phone

(718) 975-2757

NPI assigned

Mar 11, 2020

Last updated

Mar 11, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Alrie Oconner Waite, OTNPI 1629393764

Title

President

Phone

(347) 204-2173

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Alrie Oconner Waite, OTR

  • Occupational Therapist
  • Brooklyn, NY
  • NPI 1629393764
  Authorized official Same address or phone

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

{
    "created_epoch": "1583884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583884800000",
    "number": "1912532706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "76 ORANGE AVE # 2",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103022038",
            "telephone_number": "347-603-5647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2769 CONEY ISLAND AVE STE 1B",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112355051",
            "telephone_number": "718-975-2757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISLAND ONE OCCUPATIONAL THERAPY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-11",
        "last_updated": "2020-03-11",
        "certification_date": "2020-03-11",
        "status": "A",
        "authorized_official_last_name": "WAITE",
        "authorized_official_first_name": "ALRIE",
        "authorized_official_middle_name": "OCONNER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "347-204-2173",
        "authorized_official_credential": "OT"
    },
    "taxonomies": [
        {
            "code": "261QX0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Occupational Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Occupational Medicine Clinic/Center in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Occupational Medicine Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2020; 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.