Individual provider Active NPI

Nadine Winter, OTR-L

  • Physical Rehabilitation Occupational Therapist
  • Syosset, NY
National Provider Identifier
1295162253
Registry record updated Oct 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Rehabilitation Occupational TherapistTaxonomy code 225XP0019X
License
006675-1 Issued in NY
Practice address
12 Barry LN
Syosset, NY 11791-3834
Phone
(917) 783-3892
NPI assigned
Oct 3, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 3, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Rehabilitation Occupational Therapist 225XP0019X 006675-1 NY Primary

Addresses

Primary practice location

12 Barry LN
Syosset, NY 11791-3834

Mailing address

12 Barry LN
Syosset, NY 11791-3834

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140626000378 NY Practitioner - Occupational Therapist in Private Practice 7911122478 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Columbia University College of Physicians and Surgeons, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Optimum Therapeutics PT and OT PLLCGroup PAC ID 5991977712, 41 clinicians

Practice addresses (Care Compare)

1 Huntington Quadrangle
Suite 1S07
Melville, NY 11747-4426
Phone (516) 222-2010

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
006675-1NYMDPhysical Therapist
006675NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Home Advantage Occupational Therapy, P.C. CurrentSince Feb 16, 2021 Accepting new patients
Optimum Therapeutics PT & OT PLLC CurrentSince Nov 19, 2019 Accepting new patients
Propel Physical Therapy PC PastSince Nov 19, 2019 Accepting new patients
Reliance Healthcare Past Accepting new patients

Locations

12 Platinum Ct
Medford, NY 11763
Phone (516) 729-4834

1 Huntington Quadrangle
Ste 1S07
Melville, NY 11747
Phone (516) 222-2010

Organizations & group practices 4

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": "1380758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380758400000",
    "number": "1295162253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 BARRY LN",
            "city": "SYOSSET",
            "state": "NY",
            "postal_code": "117913834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 BARRY LN",
            "city": "SYOSSET",
            "state": "NY",
            "postal_code": "117913834",
            "telephone_number": "917-783-3892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINTER",
        "first_name": "NADINE",
        "credential": "OTR-L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-10-03",
        "last_updated": "2013-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0019X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Physical Rehabilitation",
            "state": "NY",
            "license": "006675-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Syosset, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2013; 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.