Individual provider Active NPI

Nidia M Cressy, M.S., OTR/L

  • Occupational Therapist
  • Bohemia, NY
National Provider Identifier
1215201819
Registry record updated Sep 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
016687 Issued in NY
Practice address
1065 Smithtown Ave
Bohemia, NY 11716-3800
Phone
(631) 567-3113
NPI assigned
Feb 28, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 22, 2021

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 016687 NY Primary

Addresses

Primary practice location

1065 Smithtown Ave
Bohemia, NY 11716-3800

Mailing address

46 Harvard LN
Commack, NY 11725-2528
Phone (631) 559-4791

Other names 1

  • Nidia M Vasquez Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210929002463 NY Practitioner - Occupational Therapist in Private Practice 0244637536 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Optimum Therapeutics PT and OT PLLCGroup PAC ID 5991977712, 41 clinicians

Practice addresses (Care Compare)

1 Huntington Quadrangle
Suite 1S07
Melville, NY 11747-4426
Phone (516) 222-2010

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
016687NYMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Optimum Therapeutics PT & OT PLLC Occupational Therapist CurrentSince Dec 24, 2021 Accepting new patients
Rehabpro Physical Therapy, PC PastSince Jun 12, 2019 Accepting new patients
Propel Physical Therapy PC Occupational Therapist PastSince Dec 24, 2021 Accepting new patients

Locations

1 Huntington Quadrangle
Ste 1S07
Melville, NY 11747
Phone (516) 222-2010

560 Broadhollow Rd
Ste 304
Melville, NY 11747
Phone (516) 222-2010

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": "1330387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632268800000",
    "number": "1215201819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46 HARVARD LN",
            "city": "COMMACK",
            "state": "NY",
            "postal_code": "117252528",
            "telephone_number": "631-559-4791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1065 SMITHTOWN AVE",
            "city": "BOHEMIA",
            "state": "NY",
            "postal_code": "117163800",
            "telephone_number": "631-567-3113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRESSY",
        "first_name": "NIDIA",
        "middle_name": "M",
        "credential": "M.S., OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-02-28",
        "last_updated": "2021-09-22",
        "certification_date": "2021-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "016687",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NIDIA",
            "last_name": "VASQUEZ",
            "middle_name": "M",
            "credential": "NIDIA M VASQUEZ",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Bohemia, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2021; 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.