Anthony Michael Kiriakos, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

023992 Issued in NY

Practice address

19 Erlwein CT
Massapequa, NY 11758-5507

Phone

(347) 801-5450

NPI assigned

Oct 2, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Electronic endpoints 2

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Fox Rehabilitation Physical Therapy Services LLCGroup PAC ID 1355395179, 226 clinicians

C.J. Allen OT Upper Extremity and Hand Therapy, PLLCGroup PAC ID 0446577282, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• C.J. Allen OT Upper Extremity & Hand Therapy, PLLC

  • Hand Occupational Therapist
  • Hauppauge, NY
  • NPI 1942699749
  Medicare reassignment Care Compare group NPD
• Fox Rehabilitation Physical Therapy Services LLC

  • Physical Therapist
  • New York, NY
  • NPI 1174560650

  Occupational Therapist

  Medicare reassignment Care Compare group NPD
• Bienetre Medical PC

  • Physical Therapist
  • New York, NY
  • NPI 1568037257

  Occupational Therapist

  Medicare reassignment NPD
• C.J. Allen OT Upper Extremity & Hand Therapy, PLLC

  • Customized Equipment (DME)
  • Smithtown, NY
  • NPI 1447955356

  Occupational Therapist

  NPD

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

{
    "created_epoch": "1569974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569974400000",
    "number": "1356982243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 UNION PKWY STE 3",
            "city": "RONKONKOMA",
            "state": "NY",
            "postal_code": "117797427",
            "telephone_number": "631-676-4185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 ERLWEIN CT",
            "city": "MASSAPEQUA",
            "state": "NY",
            "postal_code": "117585507",
            "telephone_number": "347-801-5450"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "700 Union Pkwy Ste 3",
            "address_purpose": "LOCATION",
            "city": "Ronkonkoma",
            "state": "NY",
            "postal_code": "117797427",
            "country_code": "US",
            "telephone_number": "631-676-4185",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIRIAKOS",
        "first_name": "ANTHONY",
        "middle_name": "MICHAEL",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-10-02",
        "last_updated": "2019-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "023992",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "023992",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "023992",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.eastendot.com/",
            "affiliation": "N",
            "address_1": "700 Union Pkwy Ste 3",
            "city": "Ronkonkoma",
            "state": "NY",
            "country_code": "US",
            "postal_code": "117797427",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.eastendot.com/",
            "affiliation": "N",
            "address_1": "19 Erlwein Ct",
            "city": "Massapequa",
            "state": "NY",
            "country_code": "US",
            "postal_code": "117585507",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• James J Kim
• Jiyon Jennifer Kim, P.A.-C., MPAS
• Young Chul Kim
• Kenisha Tedra King
• Patricia Kinneary, NP
• Stefanie Kitsos
• Amanda Klein
• Pamela Ann Klennert
• Kathy Kliegman, LMSW
• Barbara Klimaszewski, OTR/L

• Occupational Therapist in Massapequa, NY
• Providers in Massapequa, 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 Oct 2, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.