Individual provider Active NPI

Chad Vasquez, OT

  • Occupational Therapist
  • Brooklyn, NY
National Provider Identifier
1912675018
Registry record updated Sep 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Practice address
89 Bartlett St
Brooklyn, NY 11206-4463
Phone
(718) 828-2666
NPI assigned
Sep 2, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X Primary

Addresses

Primary practice location

89 Bartlett St
Brooklyn, NY 11206-4463

Mailing address

89 Bartlett St
Brooklyn, NY 11206-4463

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221020002525 NJ Practitioner - Occupational Therapist in Private Practice 8224404900 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Holsman Physical Therapy and Wellness PCGroup PAC ID 2062666910, 24 clinicians

Practice addresses (Care Compare)

408 Pompton Ave
Cedar Grove, NJ 07009-1813
Phone (973) 433-0732

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Home Therapy, LLC Occupational Therapist CurrentSince Jul 9, 2022 Accepting new patients
Holsman Physical and Occupational Therapy PC Occupational Therapist CurrentSince Jul 9, 2022 Accepting new patients
Holsman Physical Therapy and Rehabilitation PC Occupational Therapist CurrentSince Jul 9, 2022 Accepting new patients
Holsman Physical Therapy and Wellness PC CurrentSince Jul 9, 2022 Accepting new patients
Holsman Physical and Occupational Therapy, PC Occupational Therapist CurrentSince Jul 9, 2022 Accepting new patients

Locations

408 Pompton Ave
Cedar Grove, NJ 07009
Phone (973) 433-0732

1700 State Rt 3
Clifton, NJ 07013
Phone (862) 249-4901

1070 Clifton Ave
Ste 1A
Clifton, NJ 07013
Phone (973) 246-6565

15-01 Broadway
Ste 12
Fair Lawn, NJ 07410
Phone (201) 355-5199

711 Kearny Ave
#2
Kearny, NJ 07032
Phone (201) 535-8555

1600 Saint Georges Ave
Ste 107
Rahway, NJ 07065
Phone (732) 428-5566

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1630540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630540800000",
    "number": "1912675018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "89 BARTLETT ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112064463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "89 BARTLETT ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112064463",
            "telephone_number": "718-828-2666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VASQUEZ",
        "first_name": "CHAD",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-09-02",
        "last_updated": "2021-09-02",
        "certification_date": "2021-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "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 Sep 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.