Active NPI
Andrea Rose Iaconetti, COTA
- Occupational Therapy Assistant
- New Rochelle, NY
National Provider Identifier
1326313040
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 006781
- Practice address
- 20 Cedar St
Ste 302
New Rochelle, NY 10801-5247 - Phone
- (914) 576-5292
- NPI assigned
- Mar 13, 2012
- 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 |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 006781 | NY | Primary |
Addresses
Primary practice location
20 Cedar St
Ste 302
New Rochelle, NY 10801-5247
Mailing address
20 Cedar St
Ste 302
New Rochelle, NY 10801-5247
Phone (914) 576-5292
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 006781 | Other | NY | NYS CERTIFICATION/LICENSE NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1331596800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1331596800000",
"number": "1326313040",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20 CEDAR ST",
"address_2": "STE 302",
"city": "NEW ROCHELLE",
"state": "NY",
"postal_code": "108015247",
"telephone_number": "914-576-5292"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 CEDAR ST",
"address_2": "STE 302",
"city": "NEW ROCHELLE",
"state": "NY",
"postal_code": "108015247",
"telephone_number": "914-576-5292"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IACONETTI",
"first_name": "ANDREA",
"middle_name": "ROSE",
"name_prefix": "Miss",
"credential": "COTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-03-13",
"last_updated": "2012-03-13",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "NY",
"license": "006781",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NYS CERTIFICATION/LICENSE NUMBER",
"identifier": "006781",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New Rochelle, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.