Active NPI
Elizabeth A Gallegra, O.T.
- Occupational Therapist
- Lake Success, NY
National Provider Identifier
1356398648
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 01455-1
- Practice address
- 1999 Marcus Ave
Suite M15
Lake Success, NY 11042-1013 - Phone
- (516) 488-8808
- Fax
- (516) 488-8818
- NPI assigned
- May 30, 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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 01455-1 | NY | Primary |
Addresses
Primary practice location
1999 Marcus Ave
Suite M15
Lake Success, NY 11042-1013
Mailing address
67-76 Booth St
Apt 7I
Forest Hills, NY 11375
Phone (718) 897-2758
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01455-1 | NY | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148947200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1212105600000",
"number": "1356398648",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "67-76 BOOTH ST",
"address_2": "APT 7I",
"city": "FOREST HILLS",
"state": "NY",
"postal_code": "11375",
"telephone_number": "718-897-2758",
"fax_number": "516-488-8818"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1999 MARCUS AVE",
"address_2": "SUITE M15",
"city": "LAKE SUCCESS",
"state": "NY",
"postal_code": "110421013",
"telephone_number": "516-488-8808",
"fax_number": "516-488-8818"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GALLEGRA",
"first_name": "ELIZABETH",
"middle_name": "A",
"credential": "O.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-30",
"last_updated": "2008-05-30",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NY",
"license": "01455-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lake Success, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.