Provider Demographics
NPI: | 1194140004 |
---|---|
Name: | OT SERVICES FOR CHILDREN PC |
Entity type: | Organization |
Organization Name: | OT SERVICES FOR CHILDREN PC |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | DIRECTOR |
Authorized Official - Prefix: | MS |
Authorized Official - First Name: | LOURDES |
Authorized Official - Middle Name: | V |
Authorized Official - Last Name: | COMPARETTO |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | MS, OTR/L |
Authorized Official - Phone: | 718-288-4023 |
Mailing Address - Street 1: | 3146 35TH ST APT 1R |
Mailing Address - Street 2: | |
Mailing Address - City: | ASTORIA |
Mailing Address - State: | NY |
Mailing Address - Zip Code: | 11106-1543 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 718-288-4023 |
Mailing Address - Fax: | |
Practice Address - Street 1: | 3146 35TH ST |
Practice Address - Street 2: | |
Practice Address - City: | ASTORIA |
Practice Address - State: | NY |
Practice Address - Zip Code: | 11106-1543 |
Practice Address - Country: | US |
Practice Address - Phone: | 718-288-4023 |
Practice Address - Fax: | |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2014-02-28 |
Last Update Date: | 2014-02-28 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization | Group |
---|---|---|---|---|---|
Yes | 225XP0200X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapist | Pediatrics | Group - Multi-Specialty |
No | 225X00000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapist | Group - Multi-Specialty | |
No | 225XE0001X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapist | Environmental Modification | Group - Multi-Specialty |
No | 225XF0002X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapist | Feeding, Eating & Swallowing | Group - Multi-Specialty |
No | 225XG0600X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapist | Gerontology | Group - Multi-Specialty |
No | 225XM0800X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapist | Mental Health | Group - Multi-Specialty |
No | 225XN1300X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapist | Neurorehabilitation | Group - Multi-Specialty |
No | 225XP0019X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapist | Physical Rehabilitation | Group - Multi-Specialty |