Active NPI
Justin M Chacko
- Occupational Therapist
- Brooklyn, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 018155
- Practice address
- 800 Poly PL
Brooklyn, NY 11209-7104 - Phone
- (718) 836-6600
- NPI assigned
- Aug 2, 2013
- 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 Therapist | 225X00000X | 018155 | NY | Primary |
Addresses
Primary practice location
800 Poly PL
Brooklyn, NY 11209-7104
Mailing address
865 Plum Tree Rd W
Westbury, NY 11590-6031
Phone (516) 343-4349
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
800 E Gate Blvd
Garden City, NY 11530-2105
Phone (516) 745-8070
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| JH Therapy Services | Occupational Therapist | Current | Accepting new patients |
| Patriot Family Medical Associates PLLC | Current | Accepting new patients | |
| JH Therapy Services | Occupational Therapist | Current | Accepting new patients |
| Access Home Mobility & Safety Consultants, LLC | Current | Accepting new patients | |
| Lifetime Redesign OT, PLLC | Current | Accepting new patients | |
| Home Therapy OT PLLC | Occupational Therapist | Current | Accepting new patients |
| Metro Physical Occupational Speech Massage Therapy & Acupuncture PLLC | Occupational Therapist | Current | Accepting new patients |
| Propel Physical Therapy PC | Occupational Therapist | Past | Accepting new patients |
| Rehabpro Physical Therapy, PC | Past | Accepting new patients |
Locations
80 State St
Albany, NY 12207
Phone (415) 742-8411
805 Broadway
Ste 100
Amityville, NY 11701
Phone (631) 608-8874
800 E Gate Blvd
Garden City, NY 11530
50 Glen Cove Rd
Greenvale, NY 11548
Phone (516) 200-3545
228 Park Ave S
New York, NY 10003
Phone (215) 588-2144
11701 84th Ave
Richmond Hill, NY 11418
Phone (718) 441-0300
85 Roosevelt Ave
Valley Stream, NY 11581
Phone (516) 791-9500
Organizations & group practices 10
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.
-
- Occupational Therapist
- Westbury, NY
- NPI 1265320485
-
- Occupational Therapist
- Garden City, NY
- NPI 1356742365
-
- Geriatric Medicine (Family Medicine) Physician
- Saint Louis, MO
- NPI 1013666403
NY
-
- Physical Therapist
- Melville, NY
- NPI 1972882322
-
- Durable Medical Equipment & Medical Supplies
- New Hyde Park, NY
- NPI 1174207989
-
- Family Medicine Physician
- Valley Stream, NY
- NPI 1811031776
-
- Occupational Therapist
- Lapeer, MI
- NPI 1104618180
-
- Physical Therapist
- Melville, NY
- NPI 1154355444
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1375401600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1752105600000",
"number": "1922430743",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "865 PLUM TREE RD W",
"city": "WESTBURY",
"state": "NY",
"postal_code": "115906031",
"telephone_number": "516-343-4349"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 POLY PL",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112097104",
"telephone_number": "718-836-6600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHACKO",
"first_name": "JUSTIN",
"middle_name": "M",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-08-02",
"last_updated": "2025-07-10",
"certification_date": "2025-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NY",
"license": "018155",
"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 Jul 10, 2025; 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.