Wayne Patrick Law, OTR/L
Individual provider Active NPI Occupational Therapist · Sherburne, NY
NPI 1194569665 · NPPES record last updated Jun 20, 2024
Key facts
- NPI
- 1194569665
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- 027512-01 (NY)
- Practice address
- 220 County Road 20
Sherburne, NY 13460-4209 - Phone
- (607) 373-1108
- NPI assigned
- Jun 20, 2024
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Agu OT PC
Ats Rehab OT and PT and SLP PLLC
Practice addresses (Care Compare)
274 W Broadway
Long Beach, NY 11561-3911
Phone (732) 399-9700
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241204001864 | NY | Practitioner - Occupational Therapist in Private Practice | 9537695390 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 027512-01 | NY | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Priority One Therapy PT OT SLP PLLC | Current |
Accepting new patients | |
| Ats Rehab OT & PT & SLP PLLC | Occupational Therapist | Current |
Accepting new patients |
Locations
1105 E County Line Rd
Ste 213
Lakewood, NJ 08701
10825 Horace Harding Expy
Flushing, NY 11368
Phone (516) 216-4108
274 W Broadway
Long Beach, NY 11561
Phone (516) 431-1400
99 W Hawthorne Ave
Ste 210
Valley Stream, NY 11580
Phone (718) 305-1190
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 027512-01 | NY | Yes |
Addresses
Primary practice location
220 County Road 20
Sherburne, NY 13460-4209
Mailing address
220 County Road 20
Sherburne, NY 13460-4209
Other providers in Sherburne, NY
- Kimberly Maykish, PT
- Brenda Jean Kochanowski
- Debra J. Kurtz
- John M Kwasnik
- Peterf J Kwasnik
- Elizabeth S Loughren
- Mary Imogene Bassett Hospital
- Kimberly J Maykish
- Richard J Maykish
- Terence McCumiskey
All providers in Sherburne, NY · Occupational Therapist in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 20, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.