Yvonne Mancuso, MOT, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OC010914 Issued in PA

Practice address

60 Knickerbocker Ave
Bohemia, NY 11716-3143

Phone

(866) 537-5130

NPI assigned

May 3, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1241308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313452800000",
    "number": "1043444201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 KNICKERBOCKER AVE",
            "city": "BOHEMIA",
            "state": "NY",
            "postal_code": "117163143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 KNICKERBOCKER AVE",
            "city": "BOHEMIA",
            "state": "NY",
            "postal_code": "117163143",
            "telephone_number": "866-537-5130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANCUSO",
        "first_name": "YVONNE",
        "credential": "MOT, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-05-03",
        "last_updated": "2011-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "OH",
            "license": "OT.007200",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "PA",
            "license": "OC010914",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "OR",
            "license": "242505",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Margaret Dorothy Maier, RN,BC
• Ashokkumar Makadia, DDS
• Susan Malewicz, LCSW CASAC CSAT SAP
• Christine Mammes
• Hailey Marie Mancini, MHC
• Renee Barbara Marchewka, ATC
• Paul Markowitz, D.M.D.
• Lauren Elyse Marmo, FNP-BC
• Jillian Martino, ATR
• Anthony J Marullo, MS,OTR/L

• Occupational Therapist in Bohemia, NY
• Providers in Bohemia, 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 Aug 16, 2011; 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.