Active NPI
Glenice Abigail Opatow, O.T.
- Pediatric Occupational Therapist
- Douglaston, NY
National Provider Identifier
1962719534
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- 000906-1
- Practice address
- 7 Shore Rd
Douglaston, NY 11363-1226 - Phone
- (718) 229-0731
- Fax
- (718) 229-0731
- NPI assigned
- Sep 2, 2010
- Sex
- Male
- Sole proprietor
- Yes
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 | 000906-1 | NY | Primary |
Addresses
Primary practice location
7 Shore Rd
Douglaston, NY 11363-1226
Mailing address
7 Shore Rd
Douglaston, NY 11363-1226
Phone (718) 229-0731
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 |
|---|---|---|---|
| 000906-1 | NY | MD | Pediatric Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1283385600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1283385600000",
"number": "1962719534",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7 SHORE RD",
"city": "DOUGLASTON",
"state": "NY",
"postal_code": "113631226",
"telephone_number": "718-229-0731",
"fax_number": "718-229-0731"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7 SHORE RD",
"city": "DOUGLASTON",
"state": "NY",
"postal_code": "113631226",
"telephone_number": "718-229-0731",
"fax_number": "718-229-0731"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OPATOW",
"first_name": "GLENICE",
"middle_name": "ABIGAIL",
"name_prefix": "Mrs.",
"credential": "O.T.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-09-02",
"last_updated": "2010-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "NY",
"license": "000906-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Douglaston, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.