- Practice location
- 2579 Ocean Ave Fl 3, Brooklyn, NY 11229-4552
- Phone
- 732-766-8945
- Fax
- —
- Last updated
- October 30, 2019
Dominika J Portillo is an Occupational Therapist based in Brooklyn, NY. Dominika J Portillo practices in Brooklyn, NY and has the professional credentials of OTR. The NPI Number for Dominika J Portillo is 1013476688 and holds a License No. 46TR00863800 (NJ). The current practice location address for Dominika J Portillo is 2579 Ocean Ave Fl 3, Brooklyn, NY 11229-4552 and can be reached out via phone at 732-766-8945.
Provider Profile Details
- NPI Number
- 1013476688
- Provider Name
- Dominika J Portillo
- Credential
- OTR
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 2579 Ocean Ave Fl 3, Brooklyn, NY 11229-4552
- Phone Number
- 732-766-8945
- Primary Taxonomy
- Occupational Therapist · 225X00000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- March 13, 2019
- Last Update Date
- October 30, 2019
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 2579 Ocean Ave Fl 3
Brooklyn, NY 11229-4552 - City
- Brooklyn
- State
- New York
- Zip
- 11229-4552
- Phone Number
- 732-766-8945
Provider Business Mailing Address Details
- Address
- 11 Lisa Robyn Cir Apt 101
Lakewood, NJ 08701-7018 - City
- Lakewood
- State
- NJ
- Zip
- 08701-7018
- Phone Number
- 732-766-8945
License Information
- Taxonomy (1)
- Occupational Therapist · 225X00000X
- License Number (2)
- 46TR00863800
- License State (2)
- NJ
- Taxonomy (2)
- Occupational Therapist · 225X00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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- Bria L Bartsch, OTR/LOccupational Therapist · NPI 1205410792
- Brianna Miller, OTR/LOccupational Therapist · NPI 1447731039
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Frequently Asked Questions
What is the NPI number of Dominika J Portillo, OTR?
The NPI number of Dominika J Portillo, OTR is 1013476688. It was assigned on March 13, 2019 and is currently active in the NPPES registry.
What is the specialty of Dominika J Portillo, OTR?
Dominika J Portillo, OTR is registered under the primary taxonomy Occupational Therapist (code 225X00000X), licensed in NJ under license number 46TR00863800.
Where does Dominika J Portillo, OTR practice?
The practice location is 2579 Ocean Ave Fl 3, Brooklyn, NY 11229-4552. The office can be reached at 732-766-8945 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1013476688 directly on the NPPES registry website.