Active NPI
Aimee Beth Targovnik, OTR/L
- Pediatric Occupational Therapist
- Bronx, NY
National Provider Identifier
1952555294
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- 007336-1
- Practice address
- 2465 Bathgate Ave
Bronx, NY 10458-5928 - Phone
- (718) 367-5917
- NPI assigned
- Nov 13, 2008
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | 007336-1 | NY | Primary |
Addresses
Primary practice location
2465 Bathgate Ave
Bronx, NY 10458-5928
Mailing address
35 W 92ND St
Apt. 9F
New York, NY 10025-7639
Phone (917) 861-4212
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 007336-1 | NY | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1226534400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1226534400000",
"number": "1952555294",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "35 W 92ND ST",
"address_2": "APT. 9F",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100257639",
"telephone_number": "917-861-4212"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2465 BATHGATE AVE",
"city": "BRONX",
"state": "NY",
"postal_code": "104585928",
"telephone_number": "718-367-5917"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TARGOVNIK",
"first_name": "AIMEE",
"middle_name": "BETH",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-11-13",
"last_updated": "2008-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "NY",
"license": "007336-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.