Individual provider Active NPI

Amanda Paracat

  • Occupational Therapist
  • East Patchogue, NY
National Provider Identifier
1215494166
Registry record updated Nov 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
019330-1 Issued in NY
Practice address
191 Patchogue Yaphank Rd
East Patchogue, NY 11772-4899
Phone
(631) 775-0971
Fax
(631) 475-0975
NPI assigned
Feb 27, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2019

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 019330-1 NY Primary

Addresses

Primary practice location

191 Patchogue Yaphank Rd
East Patchogue, NY 11772-4899

Mailing address

191 Patchogue Yaphank Rd
East Patchogue, NY 11772-4899
Phone (631) 775-0971

Other names 1

  • Amanda Loevner Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190424000221 NY Practitioner - Occupational Therapist in Private Practice 1850632035 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Procare Occupational Therapy and Physical Therapy PLLCGroup PAC ID 1456692995, 5 clinicians

Practice addresses (Care Compare)

191 Patchogue Yaphank Rd
East Patchogue, NY 11772-4899
Phone (631) 775-0971

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
019330-1NYMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Procare Occupational Therapy and Physical Therapy, PLLC Occupational Therapist CurrentSince Feb 26, 2019 Accepting new patients
Bienetre Medical PC Occupational Therapist CurrentSince Jul 6, 2025 Accepting new patients
Protherapy Rehabilitation OT, PT, SLP, PLLC Past Accepting new patients

Locations

191 Patchogue Yaphank Rd
East Patchogue, NY 11772
Phone (631) 775-0971

159 Islip Ave
Islip, NY 11751
Phone (631) 650-6347

99 Hudson St
Fl 5
New York, NY 10013
Phone (646) 301-2578

518 E Main St
Ste 100
Riverhead, NY 11901
Phone (631) 591-0838

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": "1551225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574380800000",
    "number": "1215494166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "191 PATCHOGUE YAPHANK RD",
            "city": "EAST PATCHOGUE",
            "state": "NY",
            "postal_code": "117724899",
            "telephone_number": "631-775-0971",
            "fax_number": "631-475-0975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "191 PATCHOGUE YAPHANK RD",
            "city": "EAST PATCHOGUE",
            "state": "NY",
            "postal_code": "117724899",
            "telephone_number": "631-775-0971",
            "fax_number": "631-475-0975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARACAT",
        "first_name": "AMANDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-27",
        "last_updated": "2019-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "019330-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "LOEVNER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in East Patchogue, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2019; 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.