Individual provider Active NPI

Aliza T. Greenbaum, OTR/L

  • Occupational Therapist
  • New York, NY
National Provider Identifier
1962744789
Registry record updated Mar 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
016608 Issued in NY
Practice address
100 Bennett Ave Apt 6G
New York, NY 10033-3046
Phone
(617) 921-7978
NPI assigned
Mar 19, 2013
Last updated
Mar 19, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 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 016608 NY Primary

Addresses

Primary practice location

100 Bennett Ave Apt 6G
New York, NY 10033-3046

Mailing address

100 Bennett Ave Apt 6G
New York, NY 10033-3046
Phone (617) 921-7978

Other names 1

  • Aliza T Vishniavsky Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240426001041 NJ Practitioner - Occupational Therapist in Private Practice 6507006822 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
14315CAMDProfessional Counselor
016608NYMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Metro Physical Therapy LLC Occupational Therapist CurrentSince Dec 1, 2025 Accepting new patients
Back to Health Physical Therapy Associates, P.a. CurrentSince Apr 1, 2024 Accepting new patients

Locations

1060 Main St
Ste 302
River Edge, NJ 07661
Phone (201) 833-0234

800 E Gate Blvd
Garden City, NY 11530

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1363651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363651200000",
    "number": "1962744789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 BENNETT AVE APT 6G",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100333046",
            "telephone_number": "617-921-7978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 BENNETT AVE APT 6G",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100333046",
            "telephone_number": "617-921-7978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENBAUM",
        "first_name": "ALIZA",
        "middle_name": "T.",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-19",
        "last_updated": "2013-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "016608",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALIZA",
            "last_name": "VISHNIAVSKY",
            "middle_name": "T",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.