Individual provider Active NPI

Thomas Letterese, OTR/L

  • Occupational Therapist
  • New Rochelle, NY
National Provider Identifier
1275904203
Registry record updated Oct 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
019471-1 Issued in NY
Practice address
35 Davenport Ave Apt 3G
New Rochelle, NY 10805-3411
Phone
(845) 893-2459
NPI assigned
Oct 16, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 16, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 019471-1 NY Primary

Addresses

Primary practice location

35 Davenport Ave Apt 3G
New Rochelle, NY 10805-3411

Mailing address

35 Davenport Ave Apt 3G
New Rochelle, NY 10805-3411
Phone (845) 893-2459

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
019471-1NYMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Letterese Occupational Therapy PC Past 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": "1444953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444953600000",
    "number": "1275904203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 DAVENPORT AVE APT 3G",
            "city": "NEW ROCHELLE",
            "state": "NY",
            "postal_code": "108053411",
            "telephone_number": "845-893-2459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 DAVENPORT AVE APT 3G",
            "city": "NEW ROCHELLE",
            "state": "NY",
            "postal_code": "108053411",
            "telephone_number": "845-893-2459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LETTERESE",
        "first_name": "THOMAS",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-10-16",
        "last_updated": "2015-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "019471-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Rochelle, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2015; 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.