Active NPI
Danielle Collins, OTR/L
- Occupational Therapist
- Kings Park, NY
National Provider Identifier
1104210954
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 024406
- Practice address
- 395 Sunken Meadow Rd
Kings Park, NY 11754-1000 - Phone
- (631) 269-5800
- NPI assigned
- Mar 18, 2015
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 685875 | NY | |
| Occupational Therapist | 225X00000X | 024406 | NY | Primary |
Addresses
Primary practice location
395 Sunken Meadow Rd
Kings Park, NY 11754-1000
Mailing address
204 Oakwood Rd
Port Jefferson, NY 11777-1421
Phone (631) 974-4952
Other practice location 1
30 Cedar Ave
Coram, NY 11727-1107
Phone (631) 331-0393
Other names 1
- Danielle Feist
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 685875 | NY | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1426636800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1599091200000",
"number": "1104210954",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "204 OAKWOOD RD",
"city": "PORT JEFFERSON",
"state": "NY",
"postal_code": "117771421",
"telephone_number": "631-974-4952"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "395 SUNKEN MEADOW RD",
"city": "KINGS PARK",
"state": "NY",
"postal_code": "117541000",
"telephone_number": "631-269-5800"
}
],
"practiceLocations": [
{
"address_1": "30 Cedar Ave",
"address_purpose": "LOCATION",
"city": "Coram",
"state": "NY",
"postal_code": "117271107",
"country_code": "US",
"telephone_number": "631-331-0393",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "COLLINS",
"first_name": "DANIELLE",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-03-18",
"last_updated": "2020-09-03",
"certification_date": "2020-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NY",
"license": "685875",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NY",
"license": "024406",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "DANIELLE",
"last_name": "FEIST",
"credential": "RN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Kings Park, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.