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

Maisey Nisimov, MASTERS

Individual provider Occupational Therapist · NPI 1750915922

Maisey Nisimov, MASTERS is an Occupational Therapist in Private Practice in Jamaica, New York. Qualified in 2020, 6 years ago. Practices with PT and OT for Senior Rehab at Home PLLC, a 97-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
6
Licensed in
NY
In the registry since
2020
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

10920 Union Hall St
Jamaica, NY 11433-2902
Phone: (347) 209-8282
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 024414-01 (NY)

Record details

NPI number1750915922
Entity typeIndividual (Type 1)
GenderMale
Credentials MASTERS
Sole proprietorYes
NPI enumeratedFebruary 26, 2020
Last updated in NPPESFebruary 26, 2020
Certification dateFebruary 26, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Pt And Ot For Senior Rehab At Home Pllc — 97 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Jamaica