Sunshine Pediatric Occupational Therapy PC

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

Legal business name

SUNSHINE PEDIATRIC OCCUPATIONAL THERAPY PC

Practice address

12 Holly Hill CT
Holtsville, NY 11742-2527

Phone

(631) 207-2882

Fax

(631) 207-2882

NPI assigned

Nov 1, 2016

Organization subpart

No

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

Authorized official

Name

Mrs. Andrea L. Himbele, OTR/LNPI 1255475679

Title

President

Phone

(631) 207-2882

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Andrea Himbele, OTR

  • Specialist
  • Holtsville, NY
  • NPI 1255475679
  NPD (past) Authorized official

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

{
    "created_epoch": "1477958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479340800000",
    "number": "1417409814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 HOLLY HILL CT",
            "city": "HOLTSVILLE",
            "state": "NY",
            "postal_code": "117422527",
            "telephone_number": "631-207-2882",
            "fax_number": "631-207-2882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 HOLLY HILL CT",
            "city": "HOLTSVILLE",
            "state": "NY",
            "postal_code": "117422527",
            "telephone_number": "631-207-2882",
            "fax_number": "631-207-2882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNSHINE PEDIATRIC OCCUPATIONAL THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-01",
        "last_updated": "2016-11-17",
        "status": "A",
        "authorized_official_last_name": "HIMBELE",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "631-207-2882",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha J Sorace, RN
• Allison Southard, LMFT
• Stat EMS LLC
• Mary C Streit, PHD
• Catherine J Sullivan, NP
• Jennifer Concetta Tabachnick, RD
• Yanick Telfort, R.N.
• Alan Carl Tener, PH.D.
• The Young Men's Christian Association of Long Island Incorporated
• Lori Thompson-Maranda, LMSW

• Pediatric Occupational Therapist in Holtsville, NY
• Providers in Holtsville, NY by specialty
• Pediatric Occupational Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2016; 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.