Larissa Janel Hyde

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

015356 Issued in NY

Practice address

4 Countrywood CT
Deer Park, NY 11729-5602

Phone

(516) 984-0971

NPI assigned

Apr 26, 2013

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Ms. Larissa Janel Hyde Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Reliance Healthcare

  • Occupational Therapist
  • Bellmore, NY
  • NPI 1205085172
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1366934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366934400000",
    "number": "1033553581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 COUNTRYWOOD CT",
            "city": "DEER PARK",
            "state": "NY",
            "postal_code": "117295602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 COUNTRYWOOD CT",
            "city": "DEER PARK",
            "state": "NY",
            "postal_code": "117295602",
            "telephone_number": "516-984-0971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HYDE",
        "first_name": "LARISSA",
        "middle_name": "JANEL",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-26",
        "last_updated": "2013-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "015356",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LARISSA",
            "last_name": "HYDE",
            "middle_name": "JANEL",
            "prefix": "MS.",
            "credential": "MS, OTR/L",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Occupational Therapist in Deer Park, NY
• Providers in Deer Park, NY by specialty
• Occupational Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.