MR. COSTANTINOS STAMBOULIS (NPI# 1003366576) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003366576 |
| Entity Type | Individual |
| Full Name | MR. COSTANTINOS STAMBOULIS |
| Credential | OTR/L |
| Practice Address |
2904 Bruckner Blvd Bronx NY 10465-2101 |
| Mailing Address |
14916 17th Rd Whitestone NY 11357-2542 |
| Practice Telephone | 3475156993 |
| Mailing Telephone | 9176623041 |
| Enumeration Date | 2016-10-09 |
| Last Update Date | 2016-10-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | 020698 | NY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
2904 BRUCKNER BLVD |
| City | BRONX |
| State | NY |
| Zip Code | 10465-2101 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750336087 | Annmarie Feretti | Occupational Therapist | 2904 Bruckner Blvd, Bronx, NY 10465-2101 | 2006-05-24 |
| 1609183706 | Yolanda Cortes | Occupational Therapy Assistant | 2904 Bruckner Blvd, Bronx, NY 10465-2101 | 2010-09-10 |
| 1588988059 | Dhanashree S Awhad | Physical Therapist | 2904 Bruckner Blvd, Bronx, NY 10465-2101 | 2010-03-26 |
| 1699004457 | Gelsomina Teresa Rinaldi | Physical Therapist | 2904 Bruckner Blvd, Bronx, NY 10465-2101 | 2009-12-08 |
| 1487887535 | Jennifer Sepulveda | Physical Therapist | 2904 Bruckner Blvd, Bronx, NY 10465-2101 | 2009-08-24 |
| 1174755086 | Jankie Mangaru | Specialist | 2904 Bruckner Blvd, Bronx, NY 10465-2101 | 2009-08-12 |
| 1730128554 | John O'farrell | Physical Therapist | 2904 Bruckner Blvd, Bronx, NY 10465-2101 | 2006-06-06 |
| 1669411450 | Sean Kevin Sullivan | Physical Therapist | 2904 Bruckner Blvd, Bronx, NY 10465-2101 | 2006-06-06 |
| 1215982293 | First Choice Physical & | Physical Therapist | 2904 Bruckner Blvd, Bronx, NY 10465-2101 | 2006-05-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639648272 | Kenya Walters | Registered Nurse | 2761 Sampson Ave #2b, Bronx, NY 10465 | 2018-11-13 |
| 1619487873 | Samantha Salaman | Registered Nurse | 233 Graff Ave, Bronx, NY 10465 | 2017-10-02 |
| 1689199424 | Hermany Limo Transportation LLC | Non-emergency Medical Transport (VAN) | 3432-b2 East Tremont Ave, Bronx, NY 10465 | 2017-08-12 |
| 1588199046 | Yvanesa Garcia | Assistant Behavior Analyst | 351 Huntington Avenue, Bronx, NY 10465 | 2017-04-21 |
| 1104274653 | Vanessa Morales | Occupational Therapy Assistant | 3155 Miles Avenue, 1st Floor, Bronx, NY 10465 | 2016-05-25 |
| 1083060065 | Natasha Sustache | Registered Nurse | 3156a Miles Ave, Bronx, NY 10465 | 2016-05-10 |
| 1275905994 | Reagan Obiozor Anusionwu Np Psychiatry Pllc | Nurse Practitioner | 548 Throgs Neck Expwy, Bronx, NY 10465 | 2015-10-21 |
| 1386014363 | Ann Marie Gilligan | Speech-Language Pathologist | 3942 E.tremont Ave, Bronx, NY 10465 | 2015-10-02 |
| 1689075301 | Sean Kearns | Dentist | 3651 E Tremont Ave, Bronx, NY 10465 | 2014-09-12 |
| 1578975827 | Core Essentials Medical P.C. | General Practice | 3630 East Tremont Ave, Bronx, NY 10465 | 2014-05-21 |
| Find all providers in zip 10465 | ||||
| Taxonomy Code | 225X00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapist |
| 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. |
| Notes: Source: The Guide to Occupational Therapy Practice, 2nd edition. Bethesda: American Occupational Therapy Association, 2007. [7/1/2008: definition changed, added source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679172134 | Phyllis Imade | Occupational Therapist | 1168 Forest Ave, Bronx, NY 10456-5462 | 2020-10-25 |
| 1922605617 | Victoria R Fichter | Occupational Therapist | 3377 Agar Pl, Bronx, NY 10465-1367 | 2020-10-06 |
| 1316553225 | Victor Felipe | Occupational Therapist | 2042 Grand Avenue, Apartment 2d, Ny, Apt 2d, Bronx, NY 10453 | 2020-09-17 |
| 1659986727 | Carron A Logan | Occupational Therapist | 945 Arnow Ave # 3, Bronx, NY 10469-3905 | 2020-09-15 |
| 1306451729 | Genevieve Leclerc | Occupational Therapist | 1600 Sedgwick Ave Apt 4g, Bronx, NY 10453-6609 | 2020-09-11 |
| 1023626777 | Khudia Fall | Occupational Therapist | 1653 Allerton Ave Fl 2, Bronx, NY 10469-6128 | 2020-07-20 |
| 1811515117 | Jose Manuel Tineo | Occupational Therapist | 1461 Grand Concourse Apt 6a, Bronx, NY 10452-6654 | 2020-07-13 |
| 1073134680 | Nina T Suss | Occupational Therapist | 3777 Independence Ave Apt 3l, Bronx, NY 10463-1412 | 2020-05-05 |
| 1386271120 | Gabriella Levine | Occupational Therapist | 1 Fordham Plz Fl 8, Bronx, NY 10458-5871 | 2020-03-23 |
| 1225665136 | Rachael Kahan | Occupational Therapist | 1 Fordham Plz Fl Doe8, Bronx, NY 10458-5871 | 2020-03-23 |
| Find all providers in BRONX | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.