Individual provider Active NPI

Elizabeth Anne Mallozzi, OTR/L

  • Occupational Therapist
  • Garden City, NY
National Provider Identifier
1144710989
Registry record updated May 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
022489 Issued in NY
Practice address
160 Euston Rd
Garden City, NY 11530-1202
Phone
(516) 780-2235
NPI assigned
May 17, 2018
Last updated
May 17, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 022489 NY Primary

Addresses

Primary practice location

160 Euston Rd
Garden City, NY 11530-1202

Mailing address

160 Euston Rd
Garden City, NY 11530-1202
Phone (516) 780-2235

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": "1526515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526515200000",
    "number": "1144710989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 EUSTON RD",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115301202",
            "telephone_number": "516-780-2235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 EUSTON RD",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115301202",
            "telephone_number": "516-780-2235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALLOZZI",
        "first_name": "ELIZABETH",
        "middle_name": "ANNE",
        "name_prefix": "Miss",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-05-17",
        "last_updated": "2018-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "022489",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garden City, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2018; 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.