Individual provider Active NPI

Casey Skidmore

  • Occupational Therapist
  • East Northport, NY
National Provider Identifier
1194421693
Registry record updated May 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
020101-01 Issued in NY
Practice address
423 Clay Pitts Rd
East Northport, NY 11731-3801
Phone
(631) 368-5252
NPI assigned
Feb 6, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 26, 2026

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 020101-01 NY Primary

Addresses

Primary practice location

423 Clay Pitts Rd
East Northport, NY 11731-3801

Mailing address

82 Syosset Cir
Syosset, NY 11791-4808
Phone (516) 652-5114

Other names 1

  • Casey Bergin Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230316000699 NY Practitioner - Occupational Therapist in Private Practice 7113391046 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Affinity Rehabilitation LLPGroup PAC ID 4789843376, 114 clinicians
Onr National Speech Pathology IncGroup PAC ID 2668463522, 61 clinicians

Practice addresses (Care Compare)

32 Hauppauge Rd
Commack, NY 11725-4403
Phone (631) 333-8005

500 N Columbus Ave
Mount Vernon, NY 10552-1335
Phone (914) 266-3796

55 Ayrault Rd
Fairport, NY 14450-2865
Phone (585) 653-7697

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
020101NYMDSpecialist
020101-01NYMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Affinity Rehabilitation LLP CurrentSince Feb 15, 2024 Accepting new patients
Link Home Therapy Services of Ny-PT OT SLP PLLC CurrentSince Jan 20, 2023 Accepting new patients

Locations

180 Sylvan Ave
Ste 4
Englewood Cliffs, NJ 07632
Phone (347) 841-8943

500 N Columbus Ave
Mount Vernon, NY 10552
Phone (914) 266-3796

1 Johnsarbor Dr W
Rochester, NY 14620
Phone (585) 532-7214

108 S Franklin Ave
Ste 10
Valley Stream, NY 11580

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1675641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779753600000",
    "number": "1194421693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "82 SYOSSET CIR",
            "city": "SYOSSET",
            "state": "NY",
            "postal_code": "117914808",
            "telephone_number": "516-652-5114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "423 CLAY PITTS RD",
            "city": "EAST NORTHPORT",
            "state": "NY",
            "postal_code": "117313801",
            "telephone_number": "631-368-5252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKIDMORE",
        "first_name": "CASEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-06",
        "last_updated": "2026-05-26",
        "certification_date": "2026-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "020101-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CASEY",
            "last_name": "BERGIN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in East Northport, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.