Active NPI
Michelle Scarcello Kerrigan
- Occupational Therapist
- Southampton, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 020888
- Practice address
- 18 W Main St
Southampton, NY 11968-4814 - Phone
- (631) 353-3600
- Fax
- (631) 353-3602
- NPI assigned
- Sep 16, 2016
- 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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 020888 | NY | Primary |
Addresses
Primary practice location
18 W Main St
Southampton, NY 11968-4814
Mailing address
576 Broadhollow Rd
Melville, NY 11747-5002
Phone (631) 359-5859
Other names 1
- Michelle Scarcelle Barber
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
74 Commerce Ave
Suite 3
Riverhead, NY 11901-3105
Phone (631) 369-9110
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 020888 | NY | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Professional Occupational & Physical Therapy, PLLC | Occupational Therapist | Current | Accepting new patients |
| Professional Occupational & Physical Therapy, PLLC | Occupational Therapist | Current | Accepting new patients |
Locations
123 Grove Ave
Cedarhurst, NY 11516
Phone (516) 374-4248
576 Broadhollow Rd
Melville, NY 11747
74 Commerce Ave
Ste 3
Riverhead, NY 11901
Phone (631) 331-3608
18 W Main St
Southampton, NY 11968
Phone (631) 331-3608
2142 Utopia Pkwy
Whitestone, NY 11357
Phone (718) 767-0610
Organizations & group practices 2
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.
-
- Occupational Therapist
- Rockville Centre, NY
- NPI 1205296902
-
- Occupational Therapist
- Randolph, NJ
- NPI 1104376680
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1473984000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722988800000",
"number": "1053869289",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "576 BROADHOLLOW RD",
"city": "MELVILLE",
"state": "NY",
"postal_code": "117475002",
"telephone_number": "631-359-5859",
"fax_number": "631-396-0864"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18 W MAIN ST",
"city": "SOUTHAMPTON",
"state": "NY",
"postal_code": "119684814",
"telephone_number": "631-353-3600",
"fax_number": "631-353-3602"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KERRIGAN",
"first_name": "MICHELLE",
"middle_name": "SCARCELLO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-09-16",
"last_updated": "2024-08-07",
"certification_date": "2024-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NY",
"license": "020888",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MICHELLE",
"last_name": "BARBER",
"middle_name": "SCARCELLE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Southampton, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2024; 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.