Active NPI
XI Wang, OTR/L
- Occupational Therapist
- Flushing, NY
National Provider Identifier
1942613005
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 015405
- Practice address
- 13424 Maple Ave FL 3
Flushing, NY 11355-4530 - Phone
- (718) 306-7550
- NPI assigned
- Jun 6, 2014
- 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 | 015405 | NY | Primary |
Addresses
Primary practice location
13424 Maple Ave FL 3
Flushing, NY 11355-4530
Mailing address
13424 Maple Ave FL 3
Flushing, NY 11355-4530
Phone (718) 306-7550
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
| License | State | Type | Specialty |
|---|---|---|---|
| 015405 | NY | MD | Occupational Therapist |
| 015405-1 | NY | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1402012800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1402012800000",
"number": "1942613005",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13424 MAPLE AVE FL 3",
"city": "FLUSHING",
"state": "NY",
"postal_code": "113554530",
"telephone_number": "718-306-7550"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13424 MAPLE AVE FL 3",
"city": "FLUSHING",
"state": "NY",
"postal_code": "113554530",
"telephone_number": "718-306-7550"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WANG",
"first_name": "XI",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-06-06",
"last_updated": "2014-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NY",
"license": "015405",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Flushing, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.