Active NPI
Michele Susan Comen
- Hand Occupational Therapist
- Valhalla, NY
National Provider Identifier
1306861349
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hand Occupational Therapist
- License
- 00769-1
- Practice address
- 503 Grasslands Rd
Valhalla, NY 10595-1503 - Phone
- (914) 345-9133
- Fax
- (914) 345-9133
- NPI assigned
- Jul 12, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hand Occupational Therapist | 225XH1200X | 00769-1 | NY | Primary |
Addresses
Primary practice location
503 Grasslands Rd
Valhalla, NY 10595-1503
Mailing address
115 Ridgefield Ave
South Salem, NY 10590-1712
Phone (914) 345-9133
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00769-1 | Other | NY | OT LISCENSE |
Other names 1
- Michele Susan Comen
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 003769 | NY | MD | Behavioral Analyst |
| 00769-1 | NY | MD | Hand Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sports Physical Therapy Occupational Therapy and Rehabilitation Servic | Hand | Current | Accepting new patients |
| Sports Physical Therapy Occupational Therapy and Rehabilitation Servic | Hand | Current | Accepting new patients |
Locations
972 Brush Hollow Rd
Westbury, NY 11590
Organizations & group practices 2
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.
-
- Hand Physical Therapist
- East Meadow, NY
- NPI 1770540593
-
- Occupational Therapist
- White Plains, NY
- NPI 1629825591
Hand
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1306861349",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "115 RIDGEFIELD AVE",
"city": "SOUTH SALEM",
"state": "NY",
"postal_code": "105901712",
"telephone_number": "914-345-9133",
"fax_number": "914-345-9140"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "503 GRASSLANDS RD",
"city": "VALHALLA",
"state": "NY",
"postal_code": "105951503",
"telephone_number": "914-345-9133",
"fax_number": "914-345-9133"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COMEN",
"first_name": "MICHELE",
"middle_name": "SUSAN",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-12",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225XH1200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Hand",
"state": "NY",
"license": "00769-1",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OT LISCENSE",
"identifier": "00769-1",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "MICHELE",
"last_name": "COMEN",
"middle_name": "SUSAN",
"credential": "OTR/CHT,MA",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Valhalla, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.