Michelle C Tor, MS OT OTR L
Individual provider Active NPI Pediatric Occupational Therapist · N. Patchogue, NY
NPI 1295872786 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1295872786
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatric Occupational Therapist 225XP0200X
- License
- 011524 (NY)
- Practice address
- 54 Sterling Avenue
N. Patchogue, NY 11772 - Phone
- (631) 796-2223
- NPI assigned
- Jan 31, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Michelle Tor Inc. | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | 011524 | NY | Yes |
Addresses
Primary practice location
54 Sterling Avenue
N. Patchogue, NY 11772
Mailing address
54 Sterling Avenue
N. Patchogue, NY 11772
Phone (631) 796-2223
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.