Active NPI
New York City Occupational Therapy Services, PC
- Developmentally Disabled Services Day Training Agency
- Mount Sinai, NY
National Provider Identifier
1396171997
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmentally Disabled Services Day Training Agency
- License
- 017012-1
- Legal business name
- NEW YORK CITY OCCUPATIONAL THERAPY SERVICES, PC
- Practice address
- 2 Hyanis CT
Mount Sinai, NY 11766 - Phone
- (631) 831-9794
- NPI assigned
- Sep 16, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Danielle Pellegrino, M.S., OTR/L
- Title
- Occupational Therapist
- Phone
- (631) 831-9794
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmentally Disabled Services Day Training Agency | 251C00000X | 017012-1 | NY | Primary |
| Early Intervention Provider Agency | 252Y00000X | 017012-1 | NY | |
| Exclusive Provider Organization | 302F00000X | 017012-1 | NY |
Addresses
Primary practice location
2 Hyanis CT
Mount Sinai, NY 11766
Mailing address
PO Box 285
Mount Sinai, NY 11766-0285
Phone (631) 831-9794
Other practice location 1
25 Edgewood Ave
Smithtown, NY 11787-2723
Phone (631) 831-9794
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396171997 | Other | NY | PRIVATE INSURANCES |
| 1396171997 | Medicaid | NY |
Other names 1
- NYCOT Services, PC
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Occupational Therapist
- Mount Sinai, NY
- NPI 1801172325
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1379289600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1565654400000",
"number": "1396171997",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 285",
"city": "MOUNT SINAI",
"state": "NY",
"postal_code": "117660285",
"telephone_number": "631-831-9794"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 HYANIS CT",
"city": "MOUNT SINAI",
"state": "NY",
"postal_code": "11766",
"telephone_number": "631-831-9794"
}
],
"practiceLocations": [
{
"address_1": "25 Edgewood Ave",
"address_purpose": "LOCATION",
"city": "Smithtown",
"state": "NY",
"postal_code": "117872723",
"country_code": "US",
"telephone_number": "631-831-9794",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "NEW YORK CITY OCCUPATIONAL THERAPY SERVICES, PC",
"organizational_subpart": "NO",
"enumeration_date": "2013-09-16",
"last_updated": "2019-08-13",
"status": "A",
"authorized_official_last_name": "PELLEGRINO",
"authorized_official_first_name": "DANIELLE",
"authorized_official_title_or_position": "OCCUPATIONAL THERAPIST",
"authorized_official_telephone_number": "631-831-9794",
"authorized_official_credential": "M.S., OTR/L"
},
"taxonomies": [
{
"code": "251C00000X",
"taxonomy_group": "",
"desc": "Day Training, Developmentally Disabled Services",
"state": "NY",
"license": "017012-1",
"primary": true
},
{
"code": "252Y00000X",
"taxonomy_group": "",
"desc": "Early Intervention Provider Agency",
"state": "NY",
"license": "017012-1",
"primary": false
},
{
"code": "302F00000X",
"taxonomy_group": "",
"desc": "Exclusive Provider Organization",
"state": "NY",
"license": "017012-1",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PRIVATE INSURANCES",
"identifier": "1396171997",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1396171997",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "NYCOT Services, PC",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "NYCOT Services, PC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Mount Sinai, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.