Tinamarie Martirano, OTRL
Individual provider Active NPI Pediatric Occupational Therapist · Shoreham, NY
NPI 1003955246 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1003955246
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatric Occupational Therapist 225XP0200X
- License
- 009913-1 (NY)
- Practice address
- 43 Sherwood Drive
Shoreham, NY 11786 - Phone
- (631) 821-4605
- NPI assigned
- Feb 5, 2007
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 009913-1 | NY | MD | Pediatric Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Balanced OT Wellness, PLLC | Current | Accepting new patients | |
| New York Therapy Placement Services Inc. | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | 009913-1 | NY | Yes |
Addresses
Primary practice location
43 Sherwood Drive
Shoreham, NY 11786
Mailing address
43 Sherwood Drive
Shoreham, NY 11786
Phone (631) 821-4605
Other providers in Shoreham, NY
- Karen Margaret Louser
- Kevin J Louser
- Madeline Bay Lukens
- Concetta Frances Maceli
- Dorothy Maritato
- Madeleine Marx
- Maxwell Mastrangelo
- Nancy Joan Mastrangelo
- Jennifer McCann
- Susan A McGivney
All providers in Shoreham, NY · Pediatric Occupational Therapist in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.