Individual provider Active NPI

Laury Ellayne Garofano, OTR/L

  • Pediatric Occupational Therapist
  • Pound Ridge, NY
National Provider Identifier
1053566729
Registry record updated Nov 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
001528-1 Issued in NY
Practice address
71 Shad Rd W
Pound Ridge, NY 10576-2323
Phone
(914) 764-8696
NPI assigned
Nov 23, 2008
Last updated
Nov 23, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 23, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X 001528-1 NY Primary

Addresses

Primary practice location

71 Shad Rd W
Pound Ridge, NY 10576-2323

Mailing address

71 Shad Rd W
Pound Ridge, NY 10576-2323
Phone (914) 764-8696

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

LicenseStateTypeSpecialty
001528-1NYMDAthletic Trainer

NPI Registry JSON

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

{
    "created_epoch": "1227398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1227398400000",
    "number": "1053566729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "71 SHAD RD W",
            "city": "POUND RIDGE",
            "state": "NY",
            "postal_code": "105762323",
            "telephone_number": "914-764-8696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "71 SHAD RD W",
            "city": "POUND RIDGE",
            "state": "NY",
            "postal_code": "105762323",
            "telephone_number": "914-764-8696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAROFANO",
        "first_name": "LAURY",
        "middle_name": "ELLAYNE",
        "name_prefix": "Mrs.",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-11-23",
        "last_updated": "2008-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NY",
            "license": "001528-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pound Ridge, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2008; 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.