Active NPI
Christopher Venezia, OTR/L
- Occupational Therapist
- North Massapequa, NY
National Provider Identifier
1245633783
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 63 016410
- Practice address
- 95 N Maple St
North Massapequa, NY 11758-2636 - Phone
- (516) 749-4233
- NPI assigned
- Sep 29, 2014
- Sex
- Male
- Sole proprietor
- Yes
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 | 63 016410 | NY | Primary |
Addresses
Primary practice location
95 N Maple St
North Massapequa, NY 11758-2636
Mailing address
95 N Maple St
North Massapequa, NY 11758-2636
Phone (516) 749-4233
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 63 016410 | NY | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1411948800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1597795200000",
"number": "1245633783",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "95 N MAPLE ST",
"city": "NORTH MASSAPEQUA",
"state": "NY",
"postal_code": "117582636",
"telephone_number": "516-749-4233"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "95 N MAPLE ST",
"city": "NORTH MASSAPEQUA",
"state": "NY",
"postal_code": "117582636",
"telephone_number": "516-749-4233"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VENEZIA",
"first_name": "CHRISTOPHER",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-09-29",
"last_updated": "2020-08-19",
"certification_date": "2020-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NY",
"license": "63 016410",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in North Massapequa, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.