Carrie Ma, OTR/L

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

019380 Issued in NY

Practice address

21405 18TH Ave
3Rd Apt
Bayside, NY 11360-1604

Phone

(718) 690-0566

NPI assigned

Jul 17, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Meaningful Occupational Therapy, P.C.

  • Developmental Disabilities Clinic/Center
  • Bayside, NY
  • NPI 1750877783
  NPD Authorized official

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

{
    "created_epoch": "1437091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452124800000",
    "number": "1982088068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21405 18TH AVE",
            "address_2": "3RD APT",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113601604",
            "telephone_number": "718-690-0566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21405 18TH AVE",
            "address_2": "3RD APT",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113601604",
            "telephone_number": "718-690-0566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MA",
        "first_name": "CARRIE",
        "name_prefix": "Miss",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-07-17",
        "last_updated": "2016-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NY",
            "license": "019380",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "019380",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christine Lynch
• Hannah Lynch
• Vivian S. Lynes
• Jade Elizabeth Lyons
• M&K Optical Inc.
• Chao-Chuan Ma, M.S. ED
• Annalisa Macaluso
• John H. Macrone, D.C.
• Main Street Radiology at Bayside LLC
• Ivan Mak

• Pediatric Occupational Therapist in Bayside, NY
• Providers in Bayside, NY by specialty
• Pediatric Occupational Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2016; 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.