Mark Edward Constantino, OT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

010676-1 Issued in NY

Practice address

150 Prather Ave
Jamestown, NY 14701-6710

Phone

(716) 484-6659

Fax

(716) 985-6657

NPI assigned

Feb 22, 2007

Sex

Male

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

State licenses

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.

• Heritage Green Health Care Center

  • Occupational Therapist
  • Greenhurst, NY
  • NPI 1326100595
  NPD (past) Authorized official

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1144355017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 CHARLES ST",
            "city": "FREWSBURG",
            "state": "NY",
            "postal_code": "147389547",
            "telephone_number": "716-569-2240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 PRATHER AVE",
            "city": "JAMESTOWN",
            "state": "NY",
            "postal_code": "147016710",
            "telephone_number": "716-484-6659",
            "fax_number": "716-985-6657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONSTANTINO",
        "first_name": "MARK",
        "middle_name": "EDWARD",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "010676-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• George W Conner, MD
• Michael Connor
• Jacquelyn M Conroe, R.N.
• Lauren Michelle Consiglio, RN
• Amy Elizabeth Constantino
• Christopher Conti
• Rachel Ann Conti, RN
• Alissa Kristine Conyer
• Julie Michele Coppersmith, PA
• Christina L Corey

• Occupational Therapist in Jamestown, NY
• Providers in Jamestown, 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 Jul 8, 2007; 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.