OT Skills 4 Life LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

OT SKILLS 4 LIFE LLC

Practice address

888 Willis Ave
Albertson, NY 11507-1957

Phone

(516) 817-7261

NPI assigned

Mar 25, 2019

Organization subpart

No

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

Authorized official

Name

Debra Wanderman

Title

President

Phone

(516) 817-7261

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1553472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1553472000000",
    "number": "1992265854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 PUTNAM AVE",
            "city": "JERICHO",
            "state": "NY",
            "postal_code": "117531925",
            "telephone_number": "516-817-7261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "888 WILLIS AVE",
            "city": "ALBERTSON",
            "state": "NY",
            "postal_code": "115071957",
            "telephone_number": "516-817-7261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OT SKILLS 4 LIFE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-25",
        "last_updated": "2019-03-25",
        "status": "A",
        "authorized_official_last_name": "WANDERMAN",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-817-7261"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinic/Center in Albertson, NY
• Providers in Albertson, NY by specialty
• Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2019; 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.