Individual provider Active NPI

Alice Marie Deluise-Massa, OTR

  • Occupational Therapist
  • New York, NY
National Provider Identifier
1295301380
Registry record updated May 31, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
000490 Issued in NY
Practice address
520 E 76TH St Apt 11E
New York, NY 10021-3169
Phone
(914) 548-5161
NPI assigned
May 31, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 31, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 000490-1 NY
Occupational Therapist 225X00000X 000490 NY Primary

Addresses

Primary practice location

520 E 76TH St Apt 11E
New York, NY 10021-3169

Mailing address

520 E 76TH St Apt 11E
New York, NY 10021-3169
Phone (914) 548-5161

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210925000142 NY Practitioner - Occupational Therapist in Private Practice 4688071137 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 1974
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
JGB Rehabilitation CorporationGroup PAC ID 5092606533, 13 clinicians

Practice addresses (Care Compare)

250 W 64TH St
FL 3
New York, NY 10023-6402
Phone (212) 769-6313

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
000490NYMDAcupuncturist
000490-1NYMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
JGB Rehabilitation Corporation CurrentSince Aug 4, 2021 Accepting new patients

Locations

15 W 65th St
New York, NY 10023
Phone (212) 769-6200

250 W 64th St
New York, NY 10023
Phone (212) 769-6247

250 W 64th St
Fl 3
New York, NY 10023
Phone (212) 769-6313

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722

Organizations & group practices 1

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": "1622419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622419200000",
    "number": "1295301380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 E 76TH ST APT 11E",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100213169",
            "telephone_number": "914-548-5161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 E 76TH ST APT 11E",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100213169",
            "telephone_number": "914-548-5161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELUISE-MASSA",
        "first_name": "ALICE",
        "middle_name": "MARIE",
        "credential": "OTR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-31",
        "last_updated": "2021-05-31",
        "certification_date": "2021-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "000490-1",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "000490",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2021; 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.