Active NPI
Richard Lance Whalley, OTD, OTR/L
- Occupational Therapist
- Ronkonkoma, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 024666
- Practice address
- 622 Hawkins Ave
Ronkonkoma, NY 11779-2374 - Phone
- (631) 240-3579
- NPI assigned
- Apr 9, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 024666 | NY | Primary |
Addresses
Primary practice location
622 Hawkins Ave
Ronkonkoma, NY 11779-2374
Mailing address
335 Central Islip Blvd
Ronkonkoma, NY 11779-3908
Phone (631) 981-6905
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Washington University School of Medicine, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
263 W End Ave
Apt 1C
New York, NY 10023-2613
Phone (212) 787-6585
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 024666-1 | NY | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Andrea E Nomberg Physician PC | Current | Accepting new patients | |
| Lang Hand Therapy OT PLLC | Occupational Therapist | Current | Accepting new patients |
| Bienetre Medical PC | Occupational Therapist | Current | Accepting new patients |
| Sports Physical Therapy Occupational Therapy and Rehabilitation Servic | Occupational Therapist | Current | Accepting new patients |
| Theralympic Speech Therapy PLLC | Current | Accepting new patients | |
| Sports Physical Therapy Occupational Therapy and Rehabilitation Servic | Occupational Therapist | Current | Accepting new patients |
Locations
99 Hudson St
Fl 5
New York, NY 10013
Phone (646) 301-2578
263 W End Ave
Apt 1C
New York, NY 10023
Phone (212) 562-3625
9525 Queens Blvd
Ste 3D
Rego Park, NY 11374
Phone (718) 925-6212
622 Hawkins Ave
Ronkonkoma, NY 11779
Phone (631) 240-3579
Organizations & group practices 6
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.
-
- Hand Occupational Therapist
- New York, NY
- NPI 1427513357
-
dba Zaya Care
- Physical Therapist
- New York, NY
- NPI 1568037257
Occupational Therapist
-
- Hand Physical Therapist
- East Meadow, NY
- NPI 1770540593
Occupational Therapist
-
- Early Intervention Provider Agency
- Ronkonkoma, NY
- NPI 1730665043
-
- Family Medicine Physician
- Ronkonkoma, NY
- NPI 1295394120
-
- Occupational Therapist
- White Plains, NY
- NPI 1629825591
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1586390400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1586390400000",
"number": "1215556428",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "335 CENTRAL ISLIP BLVD",
"city": "RONKONKOMA",
"state": "NY",
"postal_code": "117793908",
"telephone_number": "631-981-6905"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "622 HAWKINS AVE",
"city": "RONKONKOMA",
"state": "NY",
"postal_code": "117792374",
"telephone_number": "631-240-3579"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHALLEY",
"first_name": "RICHARD",
"middle_name": "LANCE",
"name_prefix": "Dr.",
"credential": "OTD, OTR/L",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-04-09",
"last_updated": "2020-04-09",
"certification_date": "2020-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NY",
"license": "024666",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ronkonkoma, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2020; 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.