NPIMap

Individual provider Active NPI

Connie Rose Hau, OTR

  • Occupational Therapist
  • Forest Hills, NY
National Provider Identifier
1932252962
Registry record updated Aug 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
13062-1 Issued in NY
Practice address
11220 72ND Dr Apt B39
Forest Hills, NY 11375-5612
Phone
(646) 207-8199
NPI assigned
Jan 21, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 18, 2013

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 13062-1 NY Primary

Addresses

Primary practice location

11220 72ND Dr Apt B39
Forest Hills, NY 11375-5612

Mailing address

11220 72ND Dr Apt B39
Forest Hills, NY 11375-5612
Phone (646) 207-8199

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
13062-1NYMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Lifespire, Inc. Past Accepting new patients
Empress Ambulance Service LLC Past Accepting new patients
Lifespire, Inc. Past Accepting new patients

Organizations & group practices 3

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": "1169337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376784000000",
    "number": "1932252962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11220 72ND DR APT B39",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113755612",
            "telephone_number": "646-207-8199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11220 72ND DR APT B39",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113755612",
            "telephone_number": "646-207-8199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAU",
        "first_name": "CONNIE",
        "middle_name": "ROSE",
        "credential": "OTR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-21",
        "last_updated": "2013-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "13062-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest Hills, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2013; 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.