Active NPI
Nicole Lynn Fiorentino, OTR/L
- Rehabilitation Hospital Unit
- West Islip, NY
National Provider Identifier
1144518366
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Hospital Unit
- License
- 016448
- Practice address
- 560 Union Blvd
West Islip, NY 11795-3105 - Phone
- (631) 376-4109
- NPI assigned
- Jul 21, 2011
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Hospital Unit | 273Y00000X | 016448 | NY | Primary |
Addresses
Primary practice location
560 Union Blvd
West Islip, NY 11795-3105
Mailing address
100 1St Ave
Kings Park, NY 11754-3611
Phone (631) 897-8809
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1311206400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1311206400000",
"number": "1144518366",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 1ST AVE",
"city": "KINGS PARK",
"state": "NY",
"postal_code": "117543611",
"telephone_number": "631-897-8809"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "560 UNION BLVD",
"city": "WEST ISLIP",
"state": "NY",
"postal_code": "117953105",
"telephone_number": "631-376-4109"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FIORENTINO",
"first_name": "NICOLE",
"middle_name": "LYNN",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-07-21",
"last_updated": "2011-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "273Y00000X",
"taxonomy_group": "",
"desc": "Rehabilitation Unit",
"state": "NY",
"license": "016448",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Islip, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.