Individual provider Active NPI

Tatiana Smirnova, OTR/L

  • Occupational Therapist
  • Brooklyn, NY
National Provider Identifier
1972043834
Registry record updated Feb 26, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
0212301 Issued in NY
Practice address
354 91St St Apt 3B
Brooklyn, NY 11209-5826
Phone
(917) 860-3076
NPI assigned
Feb 26, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 26, 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 0212301 NY Primary

Addresses

Primary practice location

354 91St St Apt 3B
Brooklyn, NY 11209-5826

Mailing address

354 91St St Apt 3B
Brooklyn, NY 11209-5826

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170323000074 NY Practitioner - Occupational Therapist in Private Practice 9537444161 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Core Therapy Services PT OT PLLCGroup PAC ID 4587041512, 28 clinicians

Practice addresses (Care Compare)

2003 Coney Island Ave
Brooklyn, NY 11223-2328
Phone (347) 394-1600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0212301NYMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Homeside Rehab, PT, OT, SLP LLC CurrentSince Feb 20, 2017 Accepting new patients
Visiting Rehab PT OT SLP PLLC Occupational Therapist CurrentSince Apr 15, 2025 Accepting new patients
Core Therapy Services PT OT PLLC Occupational Therapist CurrentSince Jul 1, 2025 Accepting new patients
Rehab on Wheels OT PT PLLC Occupational Therapist CurrentSince Aug 10, 2018 Accepting new patients
At Your Doorstep OT PLLC Occupational Therapist CurrentSince Oct 11, 2024 Accepting new patients
Prokinetics Physical Therapy P.C. PastSince Jul 5, 2023 Accepting new patients

Locations

8419 Bay Pkwy
Brooklyn, NY 11214
Phone (718) 259-0199

3846 Flatlands Ave
#2
Brooklyn, NY 11234
Phone (917) 754-6634

174 Bay 29th St
Ste C1
Brooklyn, NY 11214
Phone (646) 750-4455

2003 Coney Island Ave
Brooklyn, NY 11223
Phone (347) 394-1600

441 Route 306
Ste 2
Monsey, NY 10952
Phone (201) 952-4436

296 Route 59
Ste 1225
Suffern, NY 10901

Organizations & group practices 6

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": "1488067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488067200000",
    "number": "1972043834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "354 91ST ST APT 3B",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112095826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "354 91ST ST APT 3B",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112095826",
            "telephone_number": "917-860-3076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMIRNOVA",
        "first_name": "TATIANA",
        "name_prefix": "Miss",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-02-26",
        "last_updated": "2017-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "0212301",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 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.