PRANULIN PHROMMAVANH OTD, OTR/L
NPI 1730909235
Occupational Therapist in New York, NY

Active since October 10, 2024Accepts Medicare Assignment
161 6TH AVE, NEW YORK, NY 10013(646) 847-1686 Get Directions Write a Review

NPPES record last updated: June 23, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Pranulin Phrommavanh Otd, Otr/l NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PRANULIN PHROMMAVANH OTD, OTR/L (NPI 1730909235) is an individual occupational therapist in New York, New York, licensed in Connecticut (6289) and active in the NPI registry since October 2024. She is a graduate of Other (2023).

NPPES Registry Identity

NPI1730909235
Entity TypeIndividualFemale
Primary Taxonomy225X00000X
Provider Legal NamePRANULIN PHROMMAVANHCredential: OTD, OTR/L
Location Address161 6TH AVENew York, NY 10013-1205
Mailing Address8 Marguy StQuaker Hill, CT 06375-1121
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateOctober 10, 2024
Last NPPES UpdateJune 23, 2026
NPPES CertifiedJune 23, 2026
✔ NPI 1730909235 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOccupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225X00000X
License✔ Licensed in CT · 6289
Definition
An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life.
161 6TH AVE, New York, NY 10013

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Pranulin Phrommavanh Otd, Otr/l is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9436617867
PECOS Enrollment IDI20260817001796

Medicare Billing Reassignment

Medicare enrollment records show Pranulin Phrommavanh reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Physical Therapy
120 E 56TH ST, SUITE 1010
New York, NY 10022
  • Reassigned Medicare billing, New York enrollment
  • 706 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapist
161 6TH AVE
NEW YORK, NY 10013
Physical Therapist
161 6TH AVE
NEW YORK, NY 10013
Physical Therapist
161 6TH AVE
NEW YORK, NY 10013
Physical Therapist
161 6TH AVE
NEW YORK, NY 10013
Physical Therapist
161 6TH AVE
NEW YORK, NY 10013
Physical Therapist
161 6TH AVE
NEW YORK, NY 10013
Physical Therapist
161 6TH AVE
NEW YORK, NY 10013
Physical Therapist
161 6TH AVE
NEW YORK, NY 10013

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pranulin Phrommavanh's NPI number?

The NPI number for Pranulin Phrommavanh is 1730909235. It was assigned to this individual provider in the NPPES registry on October 10, 2024.

Where is Pranulin Phrommavanh located?

Pranulin Phrommavanh practices at 161 6th Ave, New York, NY 10013. The listed phone number is (646) 847-1686.

What is Pranulin Phrommavanh's specialty?

The primary specialty registered for this NPI is Occupational Therapist with taxonomy code 225X00000X.

Is Pranulin Phrommavanh enrolled in Medicare?

Yes. Pranulin Phrommavanh is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Pranulin Phrommavanh's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Pranulin Phrommavanh reassigns Medicare benefits to Spear Physical And Occupational Therapy, LLC (New York, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Pranulin Phrommavanh's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Pranulin Phrommavanh was last updated on June 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.