Nicole Pennella, OTR/L – Occupational Therapist

Key facts

NPI: 1306690946
Entity type: Individual (NPI type 1)
Primary specialty: Occupational Therapist 225X00000X
License: 029032-01 (NY)
Practice address: 3153 Albany Post Rd
Buchanan, NY 10511-1668
Phone: (914) 737-2701
NPI assigned: Apr 11, 2024
Sex: Female
Sole proprietor: Yes

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.

Metro Physical Occupational Speech Massage Therapy & Acupuncture PLLC Occupational Therapist · Garden City, NY · NPI 1356742365

Medicare reassignment NPD NY · OCCUPATIONAL THERAPIST

Medicare participation

Medicare fee-for-service enrollment: Enrolled in NY

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
I20240422003335	NY	Practitioner - Occupational Therapist in Private Practice	9335588490	Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD): Yes

State licenses

License	State	Type	Specialty
029032-01	NY	MD	Occupational Therapist

Practice roles

Organization	Specialty	Status	New patients
Metro Physical Occupational Speech Massage Therapy & Acupuncture PLLC	Occupational Therapist	Current since Apr 3, 2024	Accepting new patients

Locations

3153 Albany Post Rd
Buchanan, NY 10511
Phone (914) 737-2701

1 Croton Point Ave
Croton on Hudson, NY 10520
Phone (914) 271-6070

800 E Gate Blvd
Garden City, NY 11530

50 Glen Cove Rd
Greenvale, NY 11548
Phone (516) 200-3545

3144 E Main St
Mohegan Lake, NY 10547
Phone (845) 204-9500

11701 84th Ave
Richmond Hill, NY 11418
Phone (718) 441-0300

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Occupational Therapist	225X00000X	029032-01	NY	Yes

Addresses

Primary practice location

3153 Albany Post Rd
Buchanan, NY 10511-1668

Mailing address

41B Furnace Dock Rd
Croton on Hudson, NY 10520-1406
Phone (914) 483-7099

Other providers in Buchanan, NY

Kidspeace National Centers of North America, Inc.
Norma Macaluso, MS OTR/L
Lauren Marie Mansfield, FNP-BC
Ariane Marcelino-Singleton, CD, CBE
Nina Marie Park, LPN
Danna V Pero
Ernest Michael Polao, O.D.
Nancy R. Rikoon, LCSW
Kristy Lee Rogonia
Jillian Schwartz

All providers in Buchanan, NY · Occupational Therapist in New York

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 11, 2024. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.