Active NPI
Herika Verdejo
- Occupational Therapy Assistant
- Long Island City, NY
National Provider Identifier
1962820399
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 007496-1
- Practice address
- 36-36 33Rd St
Suite 500 Therapeutic Resources
Long Island City, NY 11106 - Phone
- (212) 589-1229
- NPI assigned
- Apr 2, 2014
- Sex
- Female
- 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 | 007496-1 | NY | Primary |
Addresses
Primary practice location
36-36 33Rd St
Suite 500 Therapeutic Resources
Long Island City, NY 11106
Mailing address
3 Haven PLZ Apt 3B
New York, NY 10009-3931
Phone (917) 709-2259
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 |
|---|---|---|---|
| 007496-1 | NY | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1396396800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1396396800000",
"number": "1962820399",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3 HAVEN PLZ APT 3B",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100093931",
"telephone_number": "917-709-2259"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "36-36 33RD ST",
"address_2": "SUITE 500 THERAPEUTIC RESOURCES",
"city": "LONG ISLAND CITY",
"state": "NY",
"postal_code": "11106",
"telephone_number": "212-589-1229"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VERDEJO",
"first_name": "HERIKA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-04-02",
"last_updated": "2014-04-02",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "NY",
"license": "007496-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Long Island City, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 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.