Itherapy OT, PC.

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Legal business name

ITHERAPY OT, PC.

Practice address

339 Morris Ave
Bronx, NY 10451-6122

Phone

(914) 426-9779

Fax

(718) 880-1240

NPI assigned

May 10, 2019

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Ivy Grace Mandap Lopez, OTR/L

Title

President

Phone

(914) 426-9779

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1557446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557446400000",
    "number": "1972169423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8829 180TH ST FL 2",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114324737",
            "telephone_number": "914-426-9779",
            "fax_number": "718-880-1240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "339 MORRIS AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104516122",
            "telephone_number": "914-426-9779",
            "fax_number": "718-880-1240"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8829 180th St Fl 2",
            "address_purpose": "LOCATION",
            "city": "Jamaica",
            "state": "NY",
            "postal_code": "114324737",
            "country_code": "US",
            "telephone_number": "914-426-9779",
            "fax_number": "718-880-1240",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ITHERAPY OT, PC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-10",
        "last_updated": "2019-05-10",
        "status": "A",
        "authorized_official_last_name": "LOPEZ",
        "authorized_official_first_name": "IVY GRACE",
        "authorized_official_middle_name": "MANDAP",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "914-426-9779",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NYSED",
            "identifier": "18985",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Occupational Therapist in Bronx, NY
• Providers in Bronx, NY by specialty
• Occupational Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.