Healthcare Provider Details

I. General information

NPI: 1861326480
Provider Name (Legal Business Name): XHESIKA PASHA OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/09/2026
Last Update Date: 06/09/2026
Certification Date: 06/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1906 HONE AVE PH 2
BRONX NY
10461-1304
US

IV. Provider business mailing address

1906 HONE AVE PH 2
BRONX NY
10461-1304
US

V. Phone/Fax

Practice location:
  • Phone: 917-528-0504
  • Fax:
Mailing address:
  • Phone: 917-528-0504
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License Number031150
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: