Individual provider Active NPI

Julie Alicia Stuart, OTR

  • Occupational Therapist
  • East Patchogue, NY
National Provider Identifier
1275915381
Registry record updated Jul 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
023035-1 Issued in NY
Practice address
285 Sills Rd BLDG 5-6
East Patchogue, NY 11772-4869
Phone
(631) 475-2858
Fax
(631) 475-2886
NPI assigned
Jun 25, 2015
Reactivated
Feb 12, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2021

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 023035-1 NY Primary

Addresses

Primary practice location

285 Sills Rd BLDG 5-6
East Patchogue, NY 11772-4869

Mailing address

PO Box 45776
Baltimore, MD 21297-5776
Phone (631) 475-1241

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210302000244 NY Practitioner - Occupational Therapist in Private Practice 3678989530 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Long Island Select Healthcare, IncGroup PAC ID 5991086225, 29 clinicians

Practice addresses (Care Compare)

159 Carleton Ave
Central Islip, NY 11722-4172
Phone (631) 650-2510

Merit-based Incentive Payment System (MIPS)

Final score
77.35 of 100Reported as group
Quality
73.31
Improvement activities
40
Cost
73.42

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
023035NYMDPhysical Therapist
023035-1NYMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopedic Assoc of Long Island Physicians & Medical Group PLLC CurrentSince Jul 9, 2021 Accepting new patients
Link Home Therapy Services of Ny-PT OT SLP PLLC CurrentSince Feb 24, 2021 Accepting new patients
Metro Physical Occupational Speech Massage Therapy & Acupuncture PLLC Occupational Therapist CurrentSince Nov 15, 2021 Accepting new patients
Orthopedic Assoc of Long Island Physicians & Medical Group PLLC CurrentSince Jul 9, 2021 Accepting new patients

Locations

180 Sylvan Ave
Ste 4
Englewood Cliffs, NJ 07632
Phone (347) 841-8943

285 Sills Rd
Bldg 5-6E
East Patchogue, NY 11772
Phone (631) 475-2858

6 Technology Dr
Ste 100
East Setauket, NY 11733
Phone (631) 371-2685

800 E Gate Blvd
Garden City, NY 11530

50 Glen Cove Rd
Greenvale, NY 11548
Phone (516) 200-3545

11701 84th Ave
Richmond Hill, NY 11418
Phone (718) 441-0300

745 Route 25A
Rocky Point, NY 11778
Phone (516) 457-6387

108 S Franklin Ave
Ste 10
Valley Stream, NY 11580

Organizations & group practices 5

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": "1435190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627430400000",
    "number": "1275915381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 45776",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212975776",
            "telephone_number": "631-475-1241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "285 SILLS RD BLDG 5-6",
            "city": "EAST PATCHOGUE",
            "state": "NY",
            "postal_code": "117724869",
            "telephone_number": "631-475-2858",
            "fax_number": "631-475-2886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STUART",
        "first_name": "JULIE",
        "middle_name": "ALICIA",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-25",
        "last_updated": "2021-07-28",
        "certification_date": "2021-07-28",
        "deactivation_date": "2019-12-30",
        "reactivation_date": "2021-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "023035-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Patchogue, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.