Healthcare Provider Details

I. General information

NPI: 1124943717
Provider Name (Legal Business Name): CIRCLE OF CARE OT INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/12/2026
Last Update Date: 08/12/2026
Certification Date: 08/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14905 79TH AVE APT 721
FLUSHING NY
11367-3834
US

IV. Provider business mailing address

14905 79TH AVE APT 721
FLUSHING NY
11367-3834
US

V. Phone/Fax

Practice location:
  • Phone: 347-784-2756
  • Fax:
Mailing address:
  • Phone: 347-784-2756
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code252Y00000X
TaxonomyEarly Intervention Provider Agency
License Number
License Number State

VIII. Authorized Official

Name: RACHEL LEVIEV
Title or Position: OCCUPATIONAL THERAPIST
Credential: OTR/L
Phone: 347-784-2756