Individual provider Active NPI

Deana Siefert, OTR/L

  • Occupational Therapist
  • West Babylon, NY
National Provider Identifier
1083228928
Registry record updated Aug 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
024930 Issued in NY
Practice address
1233 12TH St
West Babylon, NY 11704-3628
Phone
(631) 617-7795
NPI assigned
Sep 8, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2023

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 024930 NY Primary

Addresses

Primary practice location

1233 12TH St
West Babylon, NY 11704-3628

Mailing address

1233 12TH St
West Babylon, NY 11704-3628
Phone (631) 617-7795

Other practice location 1

421 Smith Ave
Islip, NY 11751-4716
Phone (631) 617-7795

Other identifiers 1

IdentifierTypeStateIssuer
-OtherNOT IDENTIFIED

Electronic endpoints 3

TypeEndpointUseAffiliation
CONNECT URL CompleteRehab Direct
CONNECT URL CompleteRehab Direct
CONNECT URL CompleteRehab Direct

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

NPI Registry JSON

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

{
    "created_epoch": "1599523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692662400000",
    "number": "1083228928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1233 12TH ST",
            "city": "WEST BABYLON",
            "state": "NY",
            "postal_code": "117043628",
            "telephone_number": "631-617-7795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1233 12TH ST",
            "city": "WEST BABYLON",
            "state": "NY",
            "postal_code": "117043628",
            "telephone_number": "631-617-7795"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "421 Smith Ave",
            "address_purpose": "LOCATION",
            "city": "Islip",
            "state": "NY",
            "postal_code": "117514716",
            "country_code": "US",
            "telephone_number": "631-617-7795",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIEFERT",
        "first_name": "DEANA",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-08",
        "last_updated": "2023-08-22",
        "certification_date": "2023-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "024930",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NOT IDENTIFIED",
            "identifier": "-",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "CompleteRehab",
            "affiliation": "N",
            "endpointDescription": "Agency",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "421 Smith Ave",
            "city": "Islip",
            "state": "NY",
            "country_code": "US",
            "postal_code": "117514716",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "CompleteRehab",
            "affiliation": "N",
            "endpointDescription": "Agency",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "421 Smith Ave",
            "city": "Islip",
            "state": "NY",
            "country_code": "US",
            "postal_code": "117514716",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "CompleteRehab",
            "affiliation": "N",
            "endpointDescription": "Agency",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "421 Smith Ave",
            "city": "Islip",
            "state": "NY",
            "country_code": "US",
            "postal_code": "117514716",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in West Babylon, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2023; 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.