IndividualActive
Charles Alfred, NYS . OTA
NPI 1124170923 · Occupational Therapy Assistant · Glen Cove, NY
Provider details
- NPI number
- 1124170923
- Entity type
- Individual
- Primary specialty
- Occupational Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- NYS . OTA
- Sex
- Male
- Sole proprietor
- Yes
- License
- 006539 (NY)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
141 Dosoris Ln
Glengariff Health Care Center
Glen Cove, NY 11542-1225
Phone: (516) 676-1100
Street-level locationGet directions
Mailing address
15 Starks Pl
Lynbrook, NY 11563-4024
Registry dates
- Enumerated
- 2007-01-18
- Last updated
- 2016-10-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.