Casey Fitzsimons

Key facts

NPI

1235819962

Entity type

Individual (NPI type 1)

Primary specialty

Occupational Therapist 225X00000X

License

023966 (NY)

Practice address

320 Waverly Ave
East Rockaway, NY 11518-2118

Phone

(516) 887-6589

NPI assigned

Jul 18, 2023

Sex

Female

Sole proprietor

No

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

State licenses

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on May 15, 2025.

{
    "created_epoch": "1689638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747267200000",
    "number": "1235819962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2677 ISLAND CHANNEL RD",
            "city": "SEAFORD",
            "state": "NY",
            "postal_code": "117833322",
            "telephone_number": "516-587-3842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 WAVERLY AVE",
            "city": "EAST ROCKAWAY",
            "state": "NY",
            "postal_code": "115182118",
            "telephone_number": "516-887-6589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FITZSIMONS",
        "first_name": "CASEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-18",
        "last_updated": "2025-05-15",
        "certification_date": "2025-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "023966",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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All providers in East Rockaway, NY · Occupational Therapist in New York