Individual provider Active NPI

Thomas Wallace Trainor, OTR/L

  • Occupational Therapist
  • Huntington, NY
National Provider Identifier
1053633354
Registry record updated Feb 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
015348-1 Issued in NY
Practice address
8 Regent PL
Huntington, NY 11743-3914
Phone
(516) 660-7430
Fax
(631) 923-0758
NPI assigned
Feb 28, 2010
Last updated
Feb 28, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 28, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 015348-1 NY Primary

Addresses

Primary practice location

8 Regent PL
Huntington, NY 11743-3914

Mailing address

8 Regent PL
Huntington, NY 11743-3914
Phone (516) 660-7430

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, DE2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20250307000586 NY Practitioner - Occupational Therapist in Private Practice 6103347059
I20260605003171 DE Practitioner - Occupational Therapist in Private Practice 6103347059 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2008
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1551 Aristides Blvd
Apt 1102
Lexington, KY 40511-1580

228 Park Ave S
Suite 36053
New York, NY 10003-0103

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
015348-1NYMDOccupational Therapist
015348NYMDSpeech-Language Pathologist

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1267315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1267315200000",
    "number": "1053633354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 REGENT PL",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117433914",
            "telephone_number": "516-660-7430",
            "fax_number": "631-923-0758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 REGENT PL",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117433914",
            "telephone_number": "516-660-7430",
            "fax_number": "631-923-0758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAINOR",
        "first_name": "THOMAS",
        "middle_name": "WALLACE",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-02-28",
        "last_updated": "2010-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "015348-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.