Individual provider Active NPI

Maria Tissier, OTR/L

  • Occupational Therapist
  • Mahopac, NY
National Provider Identifier
1285940437
Registry record updated Apr 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
017402-1 Issued in NY
Practice address
507 Kennicut Hill Rd
Mahopac, NY 10541-4210
Phone
(914) 774-7361
NPI assigned
Aug 26, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 15, 2013

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 017402-1 NY Primary

Addresses

Primary practice location

507 Kennicut Hill Rd
Mahopac, NY 10541-4210

Mailing address

507 Kennicut Hill Rd
Mahopac, NY 10541-4210

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130806000651 NY Practitioner - Occupational Therapist in Private Practice 5092957944 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
017402-1NYMDOccupational Therapist
017402NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Link Home Therapy Services of Ny-PT OT SLP PLLC CurrentSince Apr 30, 2025 Accepting new patients
Federation Employment and Guidance Service, Inc Past Accepting new patients

Locations

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

108 S Franklin Ave
Ste 10
Valley Stream, NY 11580

Organizations & group practices 2

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": "1282780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1365984000000",
    "number": "1285940437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "507 KENNICUT HILL RD",
            "city": "MAHOPAC",
            "state": "NY",
            "postal_code": "105414210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "507 KENNICUT HILL RD",
            "city": "MAHOPAC",
            "state": "NY",
            "postal_code": "105414210",
            "telephone_number": "914-774-7361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TISSIER",
        "first_name": "MARIA",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-08-26",
        "last_updated": "2013-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "017402-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mahopac, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2013; 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.

Verify at the official NPI Registry.