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

MS. Venica Phagooram, MSOTR/L

Individual provider Occupational Therapist · NPI 1104549609

MS. Venica Phagooram, MSOTR/L is an Occupational Therapist in Private Practice in Jamaica, New York. Qualified in 2014, 12 years ago. Practices with Prestige Rehab LLC, a 60-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
12
Licensed in
NY
In the registry since
2022
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Practice location Address checks out

14512 111th Ave
Jamaica, NY 11435-5616
Phone: (917) 379-2868
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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 018837-01 (NY)

Record details

NPI number1104549609
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSOTR/L
Sole proprietorYes
NPI enumeratedSeptember 21, 2022
Last updated in NPPESSeptember 21, 2022
Certification dateSeptember 21, 2022

Medicare enrollment

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

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Prestige Rehab Llc — 60 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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