Individual provider Active NPI

Carol Tornello, O.T.L.

  • Pediatric Occupational Therapist
  • Staten Island, NY
National Provider Identifier
1386884096
Registry record updated Feb 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
000783-1 Issued in NY
Practice address
27 Ovis PL
Staten Island, NY 10306-3717
Phone
(718) 979-8211
Fax
(718) 979-8464
NPI assigned
Feb 21, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 21, 2009

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 000783-1 NY
Neurorehabilitation Occupational Therapist 225XN1300X 000783-1 NY
Pediatric Occupational Therapist 225XP0200X 000783-1 NY Primary

Addresses

Primary practice location

27 Ovis PL
Staten Island, NY 10306-3717

Mailing address

27 Ovis PL
Staten Island, NY 10306-3717
Phone (718) 979-8211

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

State licenses

LicenseStateTypeSpecialty
000783-1NYMDAthletic Trainer

NPI Registry JSON

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

{
    "created_epoch": "1235174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1235174400000",
    "number": "1386884096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 OVIS PL",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103063717",
            "telephone_number": "718-979-8211",
            "fax_number": "718-979-8464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 OVIS PL",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103063717",
            "telephone_number": "718-979-8211",
            "fax_number": "718-979-8464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TORNELLO",
        "first_name": "CAROL",
        "name_prefix": "Ms.",
        "credential": "O.T.L.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-02-21",
        "last_updated": "2009-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "000783-1",
            "primary": false
        },
        {
            "code": "225XN1300X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Neurorehabilitation",
            "state": "NY",
            "license": "000783-1",
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NY",
            "license": "000783-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.