Energy Resolution Theories, LLC Leah Fazal Sole MBR

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Legal business name

ENERGY RESOLUTION THEORIES, LLC LEAH FAZAL SOLE MBR

Practice address

11 Irving PL
Woodmere, NY 11598-1256

Phone

(718) 791-8950

NPI assigned

Jun 29, 2021

Organization subpart

No

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

Authorized official

Name

Leah Fazal, OTR/L

Title

Owner

Phone

(718) 791-8950

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1624924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624924800000",
    "number": "1992375372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "139 FOSTER AVE",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115804726",
            "telephone_number": "718-791-8950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 IRVING PL",
            "city": "WOODMERE",
            "state": "NY",
            "postal_code": "115981256",
            "telephone_number": "718-791-8950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENERGY RESOLUTION THEORIES, LLC LEAH FAZAL SOLE MBR",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-29",
        "last_updated": "2021-06-29",
        "certification_date": "2021-06-29",
        "status": "A",
        "authorized_official_last_name": "FAZAL",
        "authorized_official_first_name": "LEAH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-791-8950",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Occupational Therapist in Woodmere, NY
• Providers in Woodmere, 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 Jun 29, 2021; 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.