Individual provider Active NPI

Daniel Alejandro Pizarro, OTR/L

  • Occupational Therapist
  • Long Island City, NY
National Provider Identifier
1962847939
Registry record updated Jan 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
017841-1 Issued in NY
Practice address
3716 Greenpoint Ave
Apt 3F
Long Island City, NY 11101-1910
Phone
(914) 863-2253
NPI assigned
May 6, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 6, 2017

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 017841-1 NY Primary

Addresses

Primary practice location

3716 Greenpoint Ave
Apt 3F
Long Island City, NY 11101-1910

Mailing address

3716 Greenpoint Ave
Apt 3F
Long Island City, NY 11101-1910
Phone (914) 863-2253

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131015001459 NY Practitioner - Occupational Therapist in Private Practice 2163656760 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Optimum Therapeutics PT and OT PLLCGroup PAC ID 5991977712, 41 clinicians

Practice addresses (Care Compare)

1 Huntington Quadrangle
Suite 1S07
Melville, NY 11747-4426
Phone (516) 222-2010

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
017841-1NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Esd PT OT & SLP PLLC Occupational Therapist CurrentSince Sep 11, 2020 Accepting new patients
Optimum Therapeutics PT & OT PLLC Occupational Therapist CurrentSince Nov 1, 2021 Accepting new patients
Propel Physical Therapy PC Occupational Therapist PastSince Nov 1, 2021 Accepting new patients

Locations

2632 Atlantic Ave
Brooklyn, NY 11207
Phone (718) 473-3803

1 Huntington Quadrangle
Ste 1S07
Melville, NY 11747
Phone (516) 222-2010

305 W End Ave
New York, NY 10023
Phone (212) 372-7500

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1367798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483660800000",
    "number": "1962847939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3716 GREENPOINT AVE",
            "address_2": "APT 3F",
            "city": "LONG ISLAND CITY",
            "state": "NY",
            "postal_code": "111011910",
            "telephone_number": "914-863-2253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3716 GREENPOINT AVE",
            "address_2": "APT 3F",
            "city": "LONG ISLAND CITY",
            "state": "NY",
            "postal_code": "111011910",
            "telephone_number": "914-863-2253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIZARRO",
        "first_name": "DANIEL",
        "middle_name": "ALEJANDRO",
        "name_prefix": "Mr.",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-05-06",
        "last_updated": "2017-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "017841-1",
            "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 Jan 6, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.