Active NPI
Gabriella Marie Lampitok, CTRS
- Recreation Therapist
- Lindenhurst, NY
National Provider Identifier
1023891074
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Recreation Therapist
- License
- 84209
- Practice address
- 619 Centre Ave
Lindenhurst, NY 11757-3116 - Phone
- (631) 745-2212
- NPI assigned
- Aug 15, 2023
- 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 |
|---|---|---|---|---|
| Recreation Therapist | 225800000X | 84209 | NY | Primary |
Addresses
Primary practice location
619 Centre Ave
Lindenhurst, NY 11757-3116
Mailing address
79 Linden Boulevard
Queens, NY 11424-1468
Phone (718) 526-1000
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 |
|---|---|---|---|
| 84209 | NY | MD | Recreation Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1692057600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692057600000",
"number": "1023891074",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "79 LINDEN BOULEVARD",
"city": "QUEENS",
"state": "NY",
"postal_code": "114241468",
"telephone_number": "718-526-1000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "619 CENTRE AVE",
"city": "LINDENHURST",
"state": "NY",
"postal_code": "117573116",
"telephone_number": "631-745-2212"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAMPITOK",
"first_name": "GABRIELLA",
"middle_name": "MARIE",
"credential": "CTRS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-08-15",
"last_updated": "2023-08-15",
"certification_date": "2023-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "225800000X",
"taxonomy_group": "",
"desc": "Recreation Therapist",
"state": "NY",
"license": "84209",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lindenhurst, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.