Active NPI
Stephanie Martinelli, OTR
- Occupational Therapist
- Castleton, NY
National Provider Identifier
1023330180
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 016010-1
- Practice address
- 2500 Pond VW
Suite 102a
Castleton, NY 12033-9750 - Phone
- (518) 477-6072
- Fax
- (518) 477-6074
- NPI assigned
- Feb 17, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 016010-1 | NY | Primary |
Addresses
Primary practice location
2500 Pond VW
Suite 102a
Castleton, NY 12033-9750
Mailing address
1134 Fayette Drive
Schenectady, NY 12303
Phone (518) 477-6072
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 016010-1 | NY | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Story Place Preschool, Inc. | Past | Accepting new patients | |
| Story Place Preschool | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapy Clinic/Center
- Castleton, NY
- NPI 1912150046
-
- PACE Provider Organization
- Castleton, NY
- NPI 1194054726
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1266364800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1266364800000",
"number": "1023330180",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1134 FAYETTE DRIVE",
"city": "SCHENECTADY",
"state": "NY",
"postal_code": "12303",
"telephone_number": "518-477-6072",
"fax_number": "518-477-6074"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2500 POND VW",
"address_2": "SUITE 102A",
"city": "CASTLETON",
"state": "NY",
"postal_code": "120339750",
"telephone_number": "518-477-6072",
"fax_number": "518-477-6074"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTINELLI",
"first_name": "STEPHANIE",
"name_prefix": "Ms.",
"credential": "OTR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-02-17",
"last_updated": "2010-02-17",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NY",
"license": "016010-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Castleton, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.