Active NPI
Ashley Anderson
- Occupational Therapist
- Staten Island, NY
National Provider Identifier
1982164034
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 023408-1
- Practice address
- 1050 Targee St
Staten Island, NY 10304-4409 - Phone
- (718) 816-8897
- NPI assigned
- Mar 24, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 023408-1 | NY | Primary |
Addresses
Primary practice location
1050 Targee St
Staten Island, NY 10304-4409
Mailing address
29 Alden St Apt 3D
Cranford, NJ 07016-5103
Phone (718) 213-8711
Other practice location 1
774 Manor Rd
Staten Island, NY 10314-7038
Phone (718) 967-0359
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 023408-1 | NY | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bright Start Speech Pathology and Language PC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Speech-Language Pathologist
- Staten Island, NY
- NPI 1508998196
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1553385600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723161600000",
"number": "1982164034",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "29 ALDEN ST APT 3D",
"city": "CRANFORD",
"state": "NJ",
"postal_code": "070165103",
"telephone_number": "718-213-8711"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1050 TARGEE ST",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103044409",
"telephone_number": "718-816-8897"
}
],
"practiceLocations": [
{
"address_1": "774 Manor Rd",
"address_purpose": "LOCATION",
"city": "Staten Island",
"state": "NY",
"postal_code": "103147038",
"country_code": "US",
"telephone_number": "718-967-0359",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ANDERSON",
"first_name": "ASHLEY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-03-24",
"last_updated": "2024-08-09",
"certification_date": "2024-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NY",
"license": "023408-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Staten Island, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.