Heritage Green Health Care Center

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

5569724 Issued in NY

Legal business name

HERITAGE GREEN HEALTH CARE CENTER

Practice address

3023 Rte 430
Greenhurst, NY 14742

Phone

(716) 484-6659

NPI assigned

Dec 14, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Mark E Constantino, OTRLNPI 1144355017

Title

Occupational Therapist

Phone

(716) 484-6659

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mark Edward Constantino, OT

  • Occupational Therapist
  • Jamestown, NY
  • NPI 1144355017
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1326100595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 CHARLES ST",
            "city": "FREWSBURG",
            "state": "NY",
            "postal_code": "147389547",
            "telephone_number": "716-569-2240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3023 RTE 430",
            "city": "GREENHURST",
            "state": "NY",
            "postal_code": "14742",
            "telephone_number": "716-484-6659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERITAGE GREEN HEALTH CARE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CONSTANTINO",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "716-484-6659",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "OTRL"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "5569724",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nissa Bland, RN
• Karen I Bower, PT
• Gina M Gazdak, CRNP
• Gerry Homes Inc (Heritage Green Rehab & Skilled Nursing)
• Gerry Homes Inc (Heritage Green Outpatient Therapy Clinic)
• Alyssa J Johnson
• Amy Sue Koers, ANP-BC
• Angela Mary Mackowiak

• Occupational Therapist in Greenhurst, NY
• Providers in Greenhurst, NY by specialty
• Occupational Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.