Enabling Therapy OT LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

0138551 Issued in NY

Legal business name

ENABLING THERAPY OT LLC

Practice address

4205 Francis Lewis Blvd FL 1
Bayside, NY 11361-2573

Phone

(718) 888-7727

Fax

(718) 269-9558

NPI assigned

Jan 29, 2013

Last updated

Jan 29, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Amy Liu, OTR/L, CLT, CHT

Title

Owner/Occupational Therapist

Phone

(718) 888-7727

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1359417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359417600000",
    "number": "1972841757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5014 211TH ST",
            "city": "BAYSIDE HILLS",
            "state": "NY",
            "postal_code": "113641144",
            "telephone_number": "718-888-7727",
            "fax_number": "718-269-9558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4205 FRANCIS LEWIS BLVD FL 1",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113612573",
            "telephone_number": "718-888-7727",
            "fax_number": "718-269-9558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENABLING THERAPY OT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-29",
        "last_updated": "2013-01-29",
        "status": "A",
        "authorized_official_last_name": "LIU",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "OWNER/OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "718-888-7727",
        "authorized_official_credential": "OTR/L, CLT, CHT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NY",
            "license": "0138551",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapy Clinic/Center in Bayside, NY
• Providers in Bayside, NY by specialty
• Physical Therapy Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2013; 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.