Vista Therapeutics Inc

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Legal business name

VISTA THERAPEUTICS INC

Practice address

36 Michigan St
Long Beach, NY 11561-1309

Phone

(516) 302-5794

NPI assigned

Jun 14, 2022

Organization subpart

No

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

Authorized official

Name

Mr. Basil Donato, OTR/LNPI 1225531742

Title

Occupational Therapist

Phone

(516) 302-5794

Specialties & licenses 1

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Basil Donato, OTR/L

  • Occupational Therapist
  • Long Beach, NY
  • NPI 1225531742
  NPD Authorized official
• Nicole Marie Edwards

  • Occupational Therapist
  • Ashtabula, OH
  • NPI 1104372804
  NPD

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

{
    "created_epoch": "1655164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655164800000",
    "number": "1396475273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 MICHIGAN ST",
            "city": "LONG BEACH",
            "state": "NY",
            "postal_code": "115611309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 MICHIGAN ST",
            "city": "LONG BEACH",
            "state": "NY",
            "postal_code": "115611309",
            "telephone_number": "516-302-5794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISTA THERAPEUTICS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-14",
        "last_updated": "2022-06-14",
        "certification_date": "2022-06-14",
        "status": "A",
        "authorized_official_last_name": "DONATO",
        "authorized_official_first_name": "BASIL",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "516-302-5794",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hugo Peter Van Dijk, PT, MBA
• James Vasaturo, P.T.
• Bianca Rose Vella
• Eva Maria Goni Vicente, R.N.
• Justin Vinokur
• Jenna Marie Vitale, M.S. ED
• Melanie Wagman, LMT
• Amal Wahib
• Waldbaum Inc (Waldbaums Pharmacy)
• Walgreen Co (Rite Aid)

• Occupational Therapist in Long Beach, NY
• Providers in Long Beach, 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 Jun 14, 2022; 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.