Individual provider Active NPI

Taylor Masi

  • Occupational Therapy Assistant
  • Wallkill, NY
National Provider Identifier
1215573191
Registry record updated Nov 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
009839-1 Issued in NY
Practice address
137 Viola St
Wallkill, NY 12589-4414
Phone
(845) 895-7225
NPI assigned
Nov 26, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 009839-1 NY Primary

Addresses

Primary practice location

137 Viola St
Wallkill, NY 12589-4414

Mailing address

19 Main St
Wallkill, NY 12589-3139

Other practice location 1

19 Main Street
Wallkill, NY 12589-3139
Phone (845) 895-7100

Other practice location 2

19 Main St
Wallkill, NY 12589-3139
Phone (845) 895-7100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
009839-1NYMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Wallkill Central School District PastSince Dec 1, 2019 Accepting new patients

Organizations & group practices 1

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": "1574726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574726400000",
    "number": "1215573191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 MAIN ST",
            "city": "WALLKILL",
            "state": "NY",
            "postal_code": "125893139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "137 VIOLA ST",
            "city": "WALLKILL",
            "state": "NY",
            "postal_code": "125894414",
            "telephone_number": "845-895-7225"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "19 Main Street",
            "address_purpose": "LOCATION",
            "city": "Wallkill",
            "state": "NY",
            "postal_code": "125893139",
            "country_code": "US",
            "telephone_number": "845-895-7100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "19 Main St",
            "address_purpose": "LOCATION",
            "city": "Wallkill",
            "state": "NY",
            "postal_code": "125893139",
            "country_code": "US",
            "telephone_number": "845-895-7100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MASI",
        "first_name": "TAYLOR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-26",
        "last_updated": "2019-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "NY",
            "license": "009839-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wallkill, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.