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

Individual provider Occupational Therapist · NPI 1336676527

Michael Penhasov, OT is an Occupational Therapist in Private Practice in Brooklyn, New York. Qualified in 2017, 9 years ago. Practices with My Medical PC, a 89-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
9
Licensed in
NY
In the registry since
2017
Specialties on file
2
What do these letters mean?
OT — Occupational Therapist
Helps people regain the skills needed for daily living and work.

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Practice location Address checks out

3003 Avenue X Apt 5F
Brooklyn, NY 11235-1246
Phone: (718) 759-8392
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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 021504-1 (NY)
Occupational Therapist Taxonomy 225X00000X · Licence 0215041 (NY)

Record details

NPI number1336676527
Entity typeIndividual (Type 1)
GenderMale
Credentials OT
Sole proprietorYes
NPI enumeratedMay 18, 2017
Last updated in NPPESSeptember 15, 2022
Certification dateSeptember 15, 2022

Medicare enrollment

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

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice My Medical Pc — 89 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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