Individual provider Active NPI

Olivia Myszkowski, OTR/L

  • Occupational Therapist
  • Smithtown, NY
National Provider Identifier
1366912966
Registry record updated Feb 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
022881 Issued in NY
Practice address
290 E Main St Ste 400
Smithtown, NY 11787-2916
Phone
(631) 675-5777
NPI assigned
Nov 27, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 022881 NY Primary

Addresses

Primary practice location

290 E Main St Ste 400
Smithtown, NY 11787-2916

Mailing address

2108 Joshuas Path
Hauppauge, NY 11788-4764

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190702001151 NY Practitioner - Occupational Therapist in Private Practice 1052645637 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
C.J. Allen OT Upper Extremity and Hand Therapy, PLLCGroup PAC ID 0446577282, 4 clinicians

Practice addresses (Care Compare)

2108 Joshuas Path
Hauppauge, NY 11788-4764
Phone (631) 761-6996

Merit-based Incentive Payment System (MIPS)

Final score
77.35 of 100Reported as group
Quality
73.31
Improvement activities
40
Cost
73.42

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
022881NYMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Metro Physical Occupational Speech Massage Therapy & Acupuncture PLLC Occupational Therapist CurrentSince Aug 5, 2022 Accepting new patients
Bienetre Medical PC Occupational Therapist CurrentSince Dec 31, 2025 Accepting new patients

Locations

800 E Gate Blvd
Garden City, NY 11530

50 Glen Cove Rd
Greenvale, NY 11548
Phone (516) 200-3545

2108 Joshuas Path
Hauppauge, NY 11788
Phone (631) 265-0439

259 Walt Whitman Rd
Huntington Station, NY 11746
Phone (516) 738-4844

99 Hudson St
Fl 5
New York, NY 10013
Phone (646) 301-2578

11701 84th Ave
Richmond Hill, NY 11418
Phone (718) 441-0300

290 E Main St
Ste 400
Smithtown, NY 11787
Phone (631) 361-3325

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1543276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740355200000",
    "number": "1366912966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2108 JOSHUAS PATH",
            "city": "HAUPPAUGE",
            "state": "NY",
            "postal_code": "117884764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "290 E MAIN ST STE 400",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117872916",
            "telephone_number": "631-675-5777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MYSZKOWSKI",
        "first_name": "OLIVIA",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-27",
        "last_updated": "2025-02-24",
        "certification_date": "2025-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "022881",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Smithtown, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2025; 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.