NPIMap

Organization Active NPI

Long Island Certified Hand Therapy and Custom Orthotics, Occupational

  • Hand Occupational Therapist
  • East Patchogue, NY
National Provider Identifier
1295071348
Registry record updated Jun 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hand Occupational TherapistTaxonomy code 225XH1200X
License
008249-1 Issued in NY
Legal business name
LONG ISLAND CERTIFIED HAND THERAPY AND CUSTOM ORTHOTICS, OCCUPATIONAL
Practice address
240 Patchogue Yaphank Rd
Suite 101
East Patchogue, NY 11772-4868
Phone
(631) 428-0515
Fax
(631) 438-0516
NPI assigned
Dec 18, 2012
Last updated
Jun 12, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2013

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

Authorized official

Name
Ms. Nikki Dematteo, MA, OTR/L, CHTNPI 1679789929
Title
Occupational Therapist
Phone
(631) 275-6004

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hand Occupational TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225XH1200X 008249-1 NY Primary

Addresses

Primary practice location

240 Patchogue Yaphank Rd
Suite 101
East Patchogue, NY 11772-4868

Mailing address

240 Patchogue Yaphank Rd
Suite 101
East Patchogue, NY 11772-4868
Phone (631) 428-0515

National Provider Directory

National Provider Directory

Locations

240 Patchogue Yaphank Rd
Ste 101
East Patchogue, NY 11772
Phone (631) 289-8928

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1355788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370995200000",
    "number": "1295071348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 PATCHOGUE YAPHANK RD",
            "address_2": "SUITE 101",
            "city": "EAST PATCHOGUE",
            "state": "NY",
            "postal_code": "117724868",
            "telephone_number": "631-428-0515",
            "fax_number": "631-438-0516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 PATCHOGUE YAPHANK RD",
            "address_2": "SUITE 101",
            "city": "EAST PATCHOGUE",
            "state": "NY",
            "postal_code": "117724868",
            "telephone_number": "631-428-0515",
            "fax_number": "631-438-0516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONG ISLAND CERTIFIED HAND THERAPY AND CUSTOM ORTHOTICS, OCCUPATIONAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-18",
        "last_updated": "2013-06-12",
        "status": "A",
        "authorized_official_last_name": "DEMATTEO",
        "authorized_official_first_name": "NIKKI",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "631-275-6004",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MA, OTR/L, CHT"
    },
    "taxonomies": [
        {
            "code": "225XH1200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist, Hand",
            "state": "NY",
            "license": "008249-1",
            "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 Jun 12, 2013; 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.