Long Island Certified Hand Therapy and Custom Orthotics, Occupational

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

Organization subpart

No

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, CHT

Title

Occupational Therapist

Phone

(631) 275-6004

Specialties & licenses 1

Addresses

Locations

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": []
}

• Life PT Online, P.L.L.C.
• Scott Andrew Litwin, PT
• Janice Loiacano, R.N.
• Cathy Lombardo, LPN
• Long Island Cardiology Associates, LLP
• Long Island Massage Therapy and Physical Therapy, PLLC
• Long Island Orthopaedic & Spine Specialists PC
• Vanessa Lopez
• Abby Loughlin, M.S.
• Love & Care Respite Services LLC

• Hand Occupational Therapist in East Patchogue, NY
• Providers in East Patchogue, NY by specialty
• Hand Occupational Therapist in New York

• 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.