TATYANA PRUSAKOVA (NPI# 1548625601) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548625601 |
| Entity Type | Individual |
| Full Name | TATYANA PRUSAKOVA |
| Practice Address |
20 Peachtree Ct Suite 105 Holbrook NY 11741-4616 |
| Mailing Address |
830 James St Syracuse NY 13203-2541 |
| Practice Telephone | 6314673700 |
| Practice Fax Number | 6314670928 |
| Mailing Telephone | 3154248400 |
| Mailing Fax Number | 3154248400 |
| Enumeration Date | 2015-12-16 |
| Last Update Date | 2015-12-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | 013901 | NY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
20 PEACHTREE CT SUITE 105 |
| City | HOLBROOK |
| State | NY |
| Zip Code | 11741-4616 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063497717 | Stephen Michael Joseph | Physical Therapist | 20 Peachtree Ct, Suite 105, Holbrook, NY 11741-4616 | 2005-12-14 |
| 1124569967 | Kathryn Dibenedetto | Physical Therapist | 20 Peachtree Ct, Suite 105, Holbrook, NY 11741-4616 | 2017-03-13 |
| 1144674359 | Clinical Care Associates, P.C. | Community/Behavioral Health | 20 Peachtree Ct, Suite 100, Holbrook, NY 11741-4616 | 2016-04-14 |
| 1922481555 | Jean Paul Lo | Physical Therapist | 20 Peachtree Ct, Suite 105, Holbrook, NY 11741-4616 | 2015-07-01 |
| 1487032017 | Estrellita Ammirati | Physical Therapist | 20 Peachtree Ct, Suite 105, Holbrook, NY 11741-4616 | 2015-05-15 |
| 1942687579 | Prn Physical & Occupational Therapy Network | Residential Treatment Facility, Physical Disabilities | 20 Peachtree Ct, Suite 105, Holbrook, NY 11741-4616 | 2015-05-04 |
| 1588041636 | Susan Peel | Occupational Therapist | 20 Peachtree Ct, Suite 105, Holbrook, NY 11741-4616 | 2015-04-28 |
| 1013315407 | Teresita Corpus | Physical Therapist | 20 Peachtree Ct, Suite 105, Holbrook, NY 11741-4616 | 2014-12-17 |
| 1134522931 | Youssef Boles | Physical Therapist | 20 Peachtree Ct, Suite 105, Holbrook, NY 11741-4616 | 2014-10-07 |
| 1336487909 | Jessica Guevara | Social Worker | 20 Peachtree Ct, Suite 100, Holbrook, NY 11741-4616 | 2013-01-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417591199 | Rebecca Neville | Occupational Therapist | 302 Patchogue Hobrook Rd, Sunrise of Holbrook, Holbrook, NY 11741 | 2019-11-05 |
| 1437630258 | Church Street Acupuncture Pllc | Acupuncturist | 1720 Church St, Holbrook, NY 11741 | 2018-08-29 |
| 1780191288 | Mid-island Speech Language Pathology, Pllc | Speech-Language Pathologist | 24 Donald Street, Holbrook, NY 11741 | 2018-01-05 |
| 1871013177 | Melissa Blom | Massage Therapist | 19 Charles Ave, Holbrook, NY 11741 | 2017-06-27 |
| 1215392329 | Laura Glotzer | Registered Nurse | 812 Greenbelt Pkwy W, Holbrook, NY 11741 | 2015-12-17 |
| 1437524758 | Shakim Rivera | Licensed Practical Nurse | 445 Furrows Road, Box 443, Holbrook, NY 11741 | 2015-12-11 |
| 1700255965 | Nancy Inanir | Nurse Practitioner | 59 Avenue E, Holbrook, NY 11741 | 2015-09-17 |
| 1003298233 | Eileen M Murphy | Early Intervention Provider Agency | 1606 Grundy Avenue, Holbrook, NY 11741 | 2015-06-24 |
| 1386052090 | Allison Dunne | Specialist/Technologist | 9 Circeldale Lane, Holbrook, NY 11741 | 2014-07-25 |
| 1396173258 | Valerie Guidone | Registered Nurse | 24 Gainsborough Rd, Holbrook, NY 11741 | 2013-10-30 |
| Find all providers in zip 11741 | ||||
| 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 |
|---|---|---|---|---|
| 1861032815 | Lauren Michelle Felice | Occupational Therapist | 1308 Spruce Dr, Holbrook, NY 11741-4464 | 2020-01-07 |
| 1417591199 | Rebecca Neville | Occupational Therapist | 302 Patchogue Hobrook Rd, Sunrise of Holbrook, Holbrook, NY 11741 | 2019-11-05 |
| 1417410606 | Karyn Strong | Occupational Therapist | 241 Thunder Rd, Holbrook, NY 11741-4437 | 2019-04-13 |
| 1114435799 | Alexander Stein | Occupational Therapist | 34 Avenue A, Holbrook, NY 11741-2010 | 2018-01-17 |
| 1689928137 | Leslie Geffner | Occupational Therapist | 124 Ballad Cir, Holbrook, NY 11741-3838 | 2012-11-06 |
| 1164707451 | Cynthia J. Koch | Occupational Therapist | 15 Andrea Road, Eastern Suffolk Boces Sherwood Corporate Center, Holbrook, NY 11741 | 2011-10-18 |
| 1811209802 | Dana S Stein | Occupational Therapist | 264 Ellsworth St, Holbrook, NY 11741-5206 | 2010-07-08 |
| 1518100627 | Gina Marie Desilva | Occupational Therapist | 129 Avenue C, Holbrook, NY 11741-1413 | 2009-04-20 |
| 1083826465 | Stephanie M Ennis | Occupational Therapist | 211 Centre St, Holbrook, MA 02343-1012 | 2007-05-05 |
| 1386772119 | Joseph John Mcgovern | Occupational Therapist | 7 Lou Ct, Holbrook, NY 11741-5808 | 2007-03-01 |
| Find all providers in HOLBROOK | ||||
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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.