Isabella Maya Koutsantanou, OTD, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

029334 Issued in NY

Practice address

800 E Gate Blvd
Garden City, NY 11530-2105

Phone

(516) 745-8050

NPI assigned

Sep 16, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Metro Physical Occupational Speech Massage Therapy and Acupuncture PLLGroup PAC ID 1254553639, 448 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Metro Physical Occupational Speech Massage Therapy & Acupuncture PLLC

  • Occupational Therapist
  • Garden City, NY
  • NPI 1356742365
  Medicare reassignment Care Compare group NPD
• Sherrie Glasser, Physical Therapist. PC

  dba metropolitan physical therapy

  • Physical Therapist
  • Garden City, NY
  • NPI 1912099540
  NPD (past)

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

{
    "created_epoch": "1726444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726444800000",
    "number": "1366279234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 ALDEN DR",
            "city": "PORT JEFFERSON",
            "state": "NY",
            "postal_code": "117771404",
            "telephone_number": "631-413-7601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 E GATE BLVD",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115302105",
            "telephone_number": "516-745-8050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOUTSANTANOU",
        "first_name": "ISABELLA",
        "middle_name": "MAYA",
        "credential": "OTD, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-16",
        "last_updated": "2024-09-16",
        "certification_date": "2024-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "029334",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kofinas Perinatal PC
• Alexander D. Kofinas, M.D.
• William Kokotos, MD
• Peter Harry Koumas, DMD
• Vera Koval Koumbiadis
• Grace Yolanda Kozak, LPN
• Andrejs Krecko, DDS
• Jamie Beth Kremin, OTR/L
• Ryan Krochak, M.D.
• Bonnie Rachel Kupchik, M.A.

• Occupational Therapist in Garden City, NY
• Providers in Garden City, 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 Sep 16, 2024; 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.