NORTHBOUND OT PLLC NPI 1003448648

Early Intervention Provider Agency in Brooklyn, NY

Organization Early Intervention Provider Agency

About NORTHBOUND OT PLLC

Northbound Ot Pllc is a provider established in Brooklyn, New York specializing in early intervention provider agency. The NPI number of Northbound Ot Pllc is 1003448648 and was assigned on February 2020. The practitioner's primary taxonomy code is 252Y00000X. The provider is registered as an organization and their NPI record was last updated April 2020. The authorized official of this NPI record is Mr. Anatoly Pikman Otr/l (President)

NPI

1003448648

Provider NameNORTHBOUND OT PLLC
Provider Location Address702 KATHLEEN PL APT 4C BROOKLYN, NY 11235
Provider Mailing Address702 KATHLEEN PL APT 4C BROOKLYN, NY 11235
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date02-11-2020
Last Update Date04-07-2020

Primary Taxonomy

Taxonomy Code252Y00000X
ClassificationEarly Intervention Provider Agency
TypeAgencies
Taxonomy DescriptionEarly intervention services are an effective way to address the needs of infants and toddlers who have developmental delays or disabilities. The services are made available through a federal law known as the Individuals with Disabilities Education Act (IDEA). IDEA provides states and territories with specific requirements for providing early intervention services to infants and toddlers with special needs. In turn, each state and territory develops its own policies for carrying out IDEA and its requirements. Broadly speaking, early intervention services are special services for eligible infants and toddlers and their families. These services are designed to identify and meet children's needs in five developmental areas. These areas are: physical development, cognitive development, communication, social or emotional development, and adaptive development.

Business Address

NORTHBOUND OT PLLC
702 KATHLEEN PL APT 4C
BROOKLYN, NY
ZIP 11235
Phone: (212) 464-8365
Fax: (347) 587-1915

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Mailing Address

NORTHBOUND OT PLLC
702 KATHLEEN PL APT 4C
BROOKLYN, NY
ZIP 11235
Phone: (212) 464-8365
Fax: (347) 587-1915

Authorized Official

Authorized Official NameMR. ANATOLY PIKMAN OTR/L
Authorized Official TitlePRESIDENT
Authorized Official Phone(212) 464-8365

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
05245001MEDICAID (05)NY

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.