Organization
PIXIE OT, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA MELANIE PATHAY OTR/L (PRESIDENT)
(914) 573-9507
Entity
Organization
Contact information
Practice address
2228 TENBROECK AVE, BRONX, NY 10469-5414
(914) 573-9507
Mailing address
2228 TENBROECK AVE, BRONX, NY 10469-5414
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
—
—
225XF0002X
Feeding, Eating & Swallowing Occupational Therapist
—
—
225XP0019X
Physical Rehabilitation Occupational Therapist
018805-1
NY
225XP0200X
Pediatric Occupational Therapist
Primary
018805-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1710306303
INDIVIDUAL NPI
—
Enumeration date
05/11/2016
Last updated
12/10/2023
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