Active NPI
Home Therapy OT PLLC
- Occupational Therapist
- Westbury, NY
National Provider Identifier
1265320485
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- Legal business name
- HOME THERAPY OT PLLC
- Practice address
- 865 Plum Tree Rd W
Westbury, NY 11590-6031 - Phone
- (516) 218-1767
- NPI assigned
- Jun 26, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Justin M. Chacko, OTR/L
- Title
- Owner Provider Authorized Official
- Phone
- (516) 218-1767
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | Primary |
Addresses
Primary practice location
865 Plum Tree Rd W
Westbury, NY 11590-6031
Mailing address
865 Plum Tree Rd W
Westbury, NY 11590-6031
Phone (516) 218-1767
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Occupational Therapist
- Brooklyn, NY
- NPI 1922430743
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1750896000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1750896000000",
"number": "1265320485",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "865 PLUM TREE RD W",
"city": "WESTBURY",
"state": "NY",
"postal_code": "115906031",
"telephone_number": "516-218-1767"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "865 PLUM TREE RD W",
"city": "WESTBURY",
"state": "NY",
"postal_code": "115906031",
"telephone_number": "516-218-1767"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HOME THERAPY OT PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-06-26",
"last_updated": "2025-06-26",
"certification_date": "2025-06-26",
"status": "A",
"authorized_official_last_name": "CHACKO",
"authorized_official_first_name": "JUSTIN",
"authorized_official_middle_name": "M.",
"authorized_official_title_or_position": "OWNER PROVIDER AUTHORIZED OFFICIAL",
"authorized_official_telephone_number": "516-218-1767",
"authorized_official_credential": "OTR/L"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Occupational Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Westbury, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.