Individual provider Active NPI

Sherine Mina, OT

  • Occupational Therapist
  • Smithtown, NY
National Provider Identifier
1063860237
Registry record updated Jun 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
026861-01 Issued in NY
Practice address
71 Avalon Cir
Smithtown, NY 11787-3865
Phone
(917) 742-1506
NPI assigned
May 29, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 026861-01 NY Primary
Physical Therapy Assistant 225200000X 009819-1 NY

Addresses

Primary practice location

71 Avalon Cir
Smithtown, NY 11787-3865

Mailing address

387 Gardiners Ave
Levittown, NY 11756-3701

Other practice location 1

55 Jericho Tpke
suite 202
Jericho, NY 11753-1013
Phone (516) 243-9100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220616000348 NY Practitioner - Occupational Therapist in Private Practice 3173902459 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Affinity Rehabilitation LLPGroup PAC ID 4789843376, 114 clinicians

Practice addresses (Care Compare)

1 Sunrise Dr
East Setauket, NY 11733-3820
Phone (631) 459-5498

Merit-based Incentive Payment System (MIPS)

Final score
77.35 of 100Reported as group
Quality
73.31
Improvement activities
40
Cost
73.42

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
009819-1NYMDPhysical Therapy Assistant
026861-01NYMDOccupational Therapist
026861NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Link Home Therapy Services of Ny-PT OT SLP PLLC CurrentSince Jun 1, 2022 Accepting new patients
Metro Physical Occupational Speech Massage Therapy & Acupuncture PLLC Occupational Therapist CurrentSince Jul 6, 2022 Accepting new patients
Affinity Rehabilitation LLP CurrentSince Dec 30, 2025 Accepting new patients
Priority One Therapy PT OT SLP PLLC CurrentSince Jun 1, 2022 Accepting new patients
Anchor Health Homecare Services Inc Occupational Therapist CurrentSince Jan 1, 2023 Accepting new patients
Form and Function Physical Therapy PC. Past Accepting new patients

Locations

180 Sylvan Ave
Ste 4
Englewood Cliffs, NJ 07632
Phone (347) 841-8943

46 Cook St
Brooklyn, NY 11206
Phone (718) 701-7300

1 Sunrise Dr
East Setauket, NY 11733
Phone (631) 636-6888

800 E Gate Blvd
Garden City, NY 11530

50 Glen Cove Rd
Greenvale, NY 11548
Phone (516) 200-3545

500 N Columbus Ave
Mount Vernon, NY 10552
Phone (914) 266-3796

11701 84th Ave
Richmond Hill, NY 11418
Phone (718) 441-0300

679 Whiskey Rd
Ridge, NY 11961
Phone (631) 821-4313

1 Johnsarbor Dr W
Rochester, NY 14620
Phone (585) 532-7214

108 S Franklin Ave
Ste 10
Valley Stream, NY 11580

99 W Hawthorne Ave
Ste 210
Valley Stream, NY 11580
Phone (718) 305-1190

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1464480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654560000000",
    "number": "1063860237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "387 GARDINERS AVE",
            "city": "LEVITTOWN",
            "state": "NY",
            "postal_code": "117563701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "71 AVALON CIR",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117873865",
            "telephone_number": "917-742-1506"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "55 Jericho Tpke",
            "address_2": "suite 202",
            "address_purpose": "LOCATION",
            "city": "Jericho",
            "state": "NY",
            "postal_code": "117531013",
            "country_code": "US",
            "telephone_number": "516-243-9100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MINA",
        "first_name": "SHERINE",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-29",
        "last_updated": "2022-06-07",
        "certification_date": "2022-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "026861-01",
            "primary": true
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NY",
            "license": "009819-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Smithtown, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2022; 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.