Individual provider Active NPI

Talia Ruth Pollak, OTR/L

  • Specialist
  • Flushing, NY
National Provider Identifier
1982949715
Registry record updated Dec 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
63 017754 Issued in NY
Practice address
144-28 72ND Ave
Flushing, NY 11367
Phone
(718) 440-7784
NPI assigned
Dec 5, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 5, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 63 017754 NY Primary

Addresses

Primary practice location

144-28 72ND Ave
Flushing, NY 11367

Mailing address

14428 72ND Ave
Flushing, NY 11367-2402
Phone (718) 440-7784

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140418000122 NY Practitioner - Occupational Therapist in Private Practice 8729210133 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
On-Site Physical and Occupational Therapy PLLCGroup PAC ID 9931328838, 13 clinicians
Ability HR Hand Therapy, OT and PT PLLCGroup PAC ID 6103092333, 2 clinicians

Practice addresses (Care Compare)

120 Park St
Woodmere, NY 11598-2624
Phone (516) 500-1750

813 Quentin Rd
Suite 106
Brooklyn, NY 11223-2219
Phone (718) 627-8100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
63 017754NYMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
On-Site Physical & Occupational Therapy, PLLC CurrentSince Oct 24, 2022 Accepting new patients
Ability HR Hand Therapy, OT and PT PLLC CurrentSince Dec 8, 2018 Accepting new patients

Locations

813 Quentin Rd
Ste 106
Brooklyn, NY 11223
Phone (718) 627-8100

7161 159th St
Fresh Meadows, NY 11365
Phone (718) 303-8323

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1354665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354665600000",
    "number": "1982949715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14428 72ND AVE",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113672402",
            "telephone_number": "718-440-7784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "144-28 72ND AVE",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "11367",
            "telephone_number": "718-440-7784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLLAK",
        "first_name": "TALIA",
        "middle_name": "RUTH",
        "name_prefix": "Mrs.",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-12-05",
        "last_updated": "2012-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "63 017754",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.