Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Fairbridge OT PC

Organization Occupational Therapist · NPI 1063849495

Fairbridge OT PC is an Occupational Therapist in Brooklyn, New York. Licensed in New York. Registered with an NPI since 2013.

Licensed in
NY
In the registry since
2013
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

222 Mother Gaston Blvd
Brooklyn, NY 11233-4312
Phone: (917) 478-7388
Fax: (718) 385-2591
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 014480 (NY)

Record details

NPI number1063849495
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Christine Grant — President · (917) 478-7388
NPI enumeratedSeptember 30, 2013
Last updated in NPPESSeptember 30, 2013
Mailing address222 Mother Gaston Blvd, Brooklyn, NY 11233-4312

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