Individual provider Active NPI

Vanessa Pastore, MA, OTR/L

  • Pediatric Occupational Therapist
  • Scarsdale, NY
National Provider Identifier
1184931685
Registry record updated Sep 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
005678-1 Issued in NY
Practice address
495 Central Park Ave Ste 206
Scarsdale, NY 10583-1038
Phone
(914) 704-0765
NPI assigned
Sep 3, 2010
Last updated
Sep 20, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 20, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 005678-1 NY
Pediatric Occupational Therapist 225XP0200X 005678-1 NY Primary

Addresses

Primary practice location

495 Central Park Ave Ste 206
Scarsdale, NY 10583-1038

Mailing address

495 Central Park Ave Ste 206
Scarsdale, NY 10583-1038
Phone (914) 704-0765

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
005678-1NYMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Create Abilities of Ny Occupational Therapy, PLLC Pediatrics CurrentSince Aug 2, 2020 Accepting new patients
Createabilities OT, PLLC Occupational Therapist Past Accepting new patients

Locations

81 Pondfield Rd
Ste 5
Bronxville, NY 10708
Phone (914) 319-0777

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1283472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726790400000",
    "number": "1184931685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "495 CENTRAL PARK AVE STE 206",
            "city": "SCARSDALE",
            "state": "NY",
            "postal_code": "105831038",
            "telephone_number": "914-704-0765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "495 CENTRAL PARK AVE STE 206",
            "city": "SCARSDALE",
            "state": "NY",
            "postal_code": "105831038",
            "telephone_number": "914-704-0765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PASTORE",
        "first_name": "VANESSA",
        "credential": "MA, OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-03",
        "last_updated": "2024-09-20",
        "certification_date": "2024-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "005678-1",
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NY",
            "license": "005678-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scarsdale, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2024; 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.