Active NPI
Caitlin Mary Healy, OTR/L
- Occupational Therapist
- Sag Harbor, NY
National Provider Identifier
1104547967
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 027059
- Practice address
- 3330 Noyac Rd
Sag Harbor, NY 11963-1930 - Phone
- (631) 899-3635
- NPI assigned
- Sep 8, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurorehabilitation Occupational Therapist | 225XN1300X | |||
| Pediatric Occupational Therapist | 225XP0200X | |||
| Occupational Therapist | 225X00000X | 027059 | NY | Primary |
Addresses
Primary practice location
3330 Noyac Rd
Sag Harbor, NY 11963-1930
Mailing address
4 Squiretown Rd
Hampton Bays, NY 11946-2030
Phone (845) 527-7017
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230518000106 | NY | Practitioner - Occupational Therapist in Private Practice | 6709242746 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 027059 | NY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Horizon Occupational Therapy Services, P.C. | Occupational Therapist | Current | Accepting new patients |
Organizations & group practices 1
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
- Sag Harbor, NY
- NPI 1720882400
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1662595200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1662595200000",
"number": "1104547967",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4 SQUIRETOWN RD",
"city": "HAMPTON BAYS",
"state": "NY",
"postal_code": "119462030",
"telephone_number": "845-527-7017"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3330 NOYAC RD",
"city": "SAG HARBOR",
"state": "NY",
"postal_code": "119631930",
"telephone_number": "631-899-3635"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEALY",
"first_name": "CAITLIN",
"middle_name": "MARY",
"name_prefix": "Ms.",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-09-08",
"last_updated": "2022-09-08",
"certification_date": "2022-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "225XN1300X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Neurorehabilitation",
"state": null,
"license": null,
"primary": false
},
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": null,
"license": null,
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NY",
"license": "027059",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sag Harbor, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.