Alexa Giambanco, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

029873 Issued in NY

Practice address

1490 William Floyd Pkwy Ste 107
Shirley, NY 11967-1820

Phone

(631) 363-1980

NPI assigned

Jan 14, 2025

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Little Angels Center, Inc

  • Speech-Language Pathologist
  • Medford, NY
  • NPI 1588719041

  Occupational Therapist

  NPD (past)

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

{
    "created_epoch": "1736812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736812800000",
    "number": "1104637776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2464 JACKSON AVE",
            "city": "SEAFORD",
            "state": "NY",
            "postal_code": "117833228",
            "telephone_number": "516-522-4977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1490 WILLIAM FLOYD PKWY STE 107",
            "city": "SHIRLEY",
            "state": "NY",
            "postal_code": "119671820",
            "telephone_number": "631-363-1980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIAMBANCO",
        "first_name": "ALEXA",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-14",
        "last_updated": "2025-01-14",
        "certification_date": "2025-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "029873",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Jeomaro Garcia
• Bert Geisinger, OD
• General Vision Services LLC
• Genovese Drug Stores Inc
• Genovese Drug Stores Inc
• Jacquelyn M. Gilde, LCSW
• Natalie Givargidze, NP
• Selena Goetschius, LPN
• Alexandria Gonzalez, LMSW, CASAC-ADV
• Jillian C Gonzalez, MS

• Occupational Therapist in Shirley, NY
• Providers in Shirley, NY by specialty
• Occupational Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2025; 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.