Active NPI
Ian Perry
- Occupational Therapy Assistant
- Bronx, NY
National Provider Identifier
1962724930
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 007549-1
- Practice address
- 624 E 220TH St Apt 2J
Bronx, NY 10467-5349 - Phone
- (646) 321-3342
- NPI assigned
- Feb 18, 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 |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 007549-1 | OK | Primary |
Addresses
Primary practice location
624 E 220TH St Apt 2J
Bronx, NY 10467-5349
Mailing address
624 East 220TH Street
Apt 2J
Bronx, NY 10469-5349
Phone (646) 321-3342
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 |
|---|---|---|---|
| 007549-1 | OK | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1266451200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1266451200000",
"number": "1962724930",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "624 EAST 220TH STREET",
"address_2": "APT 2J",
"city": "BRONX",
"state": "NY",
"postal_code": "104695349",
"telephone_number": "646-321-3342"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "624 E 220TH ST APT 2J",
"city": "BRONX",
"state": "NY",
"postal_code": "104675349",
"telephone_number": "646-321-3342"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERRY",
"first_name": "IAN",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-02-18",
"last_updated": "2010-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "OK",
"license": "007549-1",
"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 Feb 18, 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.