Provider Demographics
NPI:1013611037
Name:ADAPTABLE OT PLLC
Entity Type:Organization
Organization Name:ADAPTABLE OT PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:AVIVA
Authorized Official - Middle Name:
Authorized Official - Last Name:BLAUSTEIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:773-558-3114
Mailing Address - Street 1:17 BRAFMANS RD
Mailing Address - Street 2:
Mailing Address - City:INWOOD
Mailing Address - State:NY
Mailing Address - Zip Code:11096-1036
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:17 BRAFMANS RD
Practice Address - Street 2:
Practice Address - City:INWOOD
Practice Address - State:NY
Practice Address - Zip Code:11096-1036
Practice Address - Country:US
Practice Address - Phone:773-558-3114
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-27
Last Update Date:2023-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health