Organization Active NPI

Out East Occupational Therapy

  • Home Health Agency
  • Southampton, NY
National Provider Identifier
1104965094
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
OUT EAST OCCUPATIONAL THERAPY
Practice address
425 County Road 39a
Ste 204
Southampton, NY 11968-5277
Phone
(631) 375-5313
NPI assigned
Feb 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Krista Debler Seidel, OTRL
Title
Owner
Phone
(631) 375-5313

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

425 County Road 39a
Ste 204
Southampton, NY 11968-5277

Mailing address

77 Union Ave
Center Moriches, NY 11934-3213

National Provider Directory

National Provider Directory

Locations

425 County Road 39A
Ste 204
Southampton, NY 11968
Phone (631) 375-5313

NPI Registry JSON

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1104965094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 UNION AVE",
            "city": "CENTER MORICHES",
            "state": "NY",
            "postal_code": "119343213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 COUNTY ROAD 39A",
            "address_2": "STE 204",
            "city": "SOUTHAMPTON",
            "state": "NY",
            "postal_code": "119685277",
            "telephone_number": "631-375-5313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OUT EAST OCCUPATIONAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DEBLER SEIDEL",
        "authorized_official_first_name": "KRISTA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-375-5313",
        "authorized_official_credential": "OTRL"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southampton, NY

Sources for this page

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

Verify at the official NPI Registry.