Individual provider Active NPI

Malarie D'Amico, MALARIE D'AMICO

  • Occupational Therapist
  • Lindenhurst, NY
National Provider Identifier
1093071714
Registry record updated May 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
017011 Issued in NY
Practice address
734 S 8TH St
Lindenhurst, NY 11757-5526
Phone
(631) 375-4286
NPI assigned
Apr 6, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 3, 2017

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 NY
Occupational Therapist 225X00000X 017011 NY Primary

Addresses

Primary practice location

734 S 8TH St
Lindenhurst, NY 11757-5526

Mailing address

734 S 8TH St
Lindenhurst, NY 11757-5526

Other names 1

  • Mrs. Malarie D'Amico Professional name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240711001972 FL Practitioner - Occupational Therapist in Private Practice 9436694684 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Inher Physique LLCGroup PAC ID 9739575465, 4 clinicians

Practice addresses (Care Compare)

1108 Airport Blvd
Suite C
Pensacola, FL 32504-8623
Phone (850) 483-0586

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
017011NYMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Inher Physique LLC CurrentSince Dec 26, 2023 Accepting new patients
Inher Physique LLC CurrentSince Dec 26, 2023 Accepting new patients

Locations

1108 Airport Blvd
Ste C
Pensacola, FL 32504
Phone (850) 450-2081

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.

NPI Registry JSON

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

{
    "created_epoch": "1333670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493769600000",
    "number": "1093071714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "734 S 8TH ST",
            "city": "LINDENHURST",
            "state": "NY",
            "postal_code": "117575526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "734 S 8TH ST",
            "city": "LINDENHURST",
            "state": "NY",
            "postal_code": "117575526",
            "telephone_number": "631-375-4286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "D'AMICO",
        "first_name": "MALARIE",
        "name_prefix": "Mrs.",
        "credential": "MALARIE D'AMICO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-04-06",
        "last_updated": "2017-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "017011",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MALARIE",
            "last_name": "D'AMICO",
            "prefix": "MRS.",
            "credential": "MALARIE D'AMICO",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Lindenhurst, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2017; 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.