Individual provider Active NPI

Michele Susan Comen

  • Hand Occupational Therapist
  • Valhalla, NY
National Provider Identifier
1306861349
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hand Occupational TherapistTaxonomy code 225XH1200X
License
00769-1 Issued in NY
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

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
00769-1OtherNYOT LISCENSE

Other names 1

  • Michele Susan Comen Professional name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250113002477 NY Practitioner - Occupational Therapist in Private Practice 1456889823 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
003769NYMDBehavioral Analyst
00769-1NYMDHand Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Sports Physical Therapy Occupational Therapy and Rehabilitation Servic Hand CurrentSince Nov 10, 2024 Accepting new patients
Sports Physical Therapy Occupational Therapy and Rehabilitation Servic Hand CurrentSince Nov 10, 2024 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.

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.

Verify at the official NPI Registry.