Mary Beth Fitzgerald, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

011324-1 Issued in NY

Practice address

1 Expressway PLZ
Suite 106
Roslyn Heights, NY 11577-2047

Phone

(516) 621-2681

NPI assigned

Aug 25, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Extraordinary Pediatrics, PC

  • Developmental - Behavioral Pediatrics Physician
  • New Hyde Park, NY
  • NPI 1487817250
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1282694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282694400000",
    "number": "1295041432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43 PEACOCK LN",
            "city": "COMMACK",
            "state": "NY",
            "postal_code": "117254925",
            "telephone_number": "631-543-8229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 EXPRESSWAY PLZ",
            "address_2": "SUITE 106",
            "city": "ROSLYN HEIGHTS",
            "state": "NY",
            "postal_code": "115772047",
            "telephone_number": "516-621-2681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FITZGERALD",
        "first_name": "MARY BETH",
        "name_prefix": "Ms.",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-08-25",
        "last_updated": "2010-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "011324-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Francis Felte III, M.D.
• Johanna C Figueroa, MD
• Donna J. Finando, L. AC., L.M.T.
• Steven Finando
• Mitchell Steven Fishkin, D.D.S.
• Joan W. Flum, LCSW
• Regina Fomberg-Popovitz
• Cal Forster
• Benson Joseph Fox, PSYD
• Lonnie Nemiroff Fox

• Occupational Therapist in Roslyn Heights, NY
• Providers in Roslyn Heights, NY by specialty
• Occupational Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2010; 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.