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

Individual provider Occupational Therapist · NPI 1013226075

MS. Electra Petra, OTR is an Occupational Therapist in New York, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2010
Specialties on file
2
What do these letters mean?
OTR — Occupational Therapist, Registered
A nationally registered occupational therapist.

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Practice location Address checks out

5030 Broadway Ste 809
New York, NY 10034-1655 Not confirmed with CMS for 16 years — call before visiting
Phone: (212) 304-0400
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Occupational Therapist (primary) Taxonomy 225XP0200X · Licence 007803 (NY)
Occupational Therapist Taxonomy 225X00000X · Licence 007803 (NY)

Record details

NPI number1013226075
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTR
Sole proprietorYes
NPI enumeratedSeptember 24, 2010
Last updated in NPPESSeptember 24, 2010

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