OT Rehabilitation Services PLLC

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

019788-1 Issued in NY

Legal business name

OT REHABILITATION SERVICES PLLC

Practice address

2411 E 2ND St
Brooklyn, NY 11223-6041

Phone

(718) 395-3155

Fax

(718) 395-3141

NPI assigned

Feb 2, 2016

Last updated

Feb 2, 2017By 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

Kristina Kimachenko

Title

Billing Manager

Phone

(718) 395-3155

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1454371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485993600000",
    "number": "1982062113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2411 E 2ND ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112236041",
            "telephone_number": "718-395-3155",
            "fax_number": "718-395-3141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2411 E 2ND ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112236041",
            "telephone_number": "718-395-3155",
            "fax_number": "718-395-3141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OT REHABILITATION SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-02",
        "last_updated": "2017-02-02",
        "status": "A",
        "authorized_official_last_name": "KIMACHENKO",
        "authorized_official_first_name": "KRISTINA",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "718-395-3155"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NJ",
            "license": "46TR00702800",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "019703",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "019788-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Osy Inc (Georgie Wig Salon)
• OT Can PC.
• OT Dynamics Services LLC
• OT N Kids P.C.
• OT Reasons, PC
• OT Skilled Care PC
• OT Source PC
• Otc Group LLC
• Alejandro Javier Otero
• Deanna Otero

• Occupational Therapist in Brooklyn, NY
• Providers in Brooklyn, 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 Feb 2, 2017; 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.