Stephanie Ellen Cavalieri, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Practice address

212 Blue Point Ave
Blue Point, NY 11715-1204

Phone

(631) 472-6100

NPI assigned

Oct 9, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Stephanie Ellen Kirgan Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1570579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734307200000",
    "number": "1417599739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 45TH ST",
            "city": "LINDENHURST",
            "state": "NY",
            "postal_code": "117572006",
            "telephone_number": "631-873-8379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 BLUE POINT AVE",
            "city": "BLUE POINT",
            "state": "NY",
            "postal_code": "117151204",
            "telephone_number": "631-472-6100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAVALIERI",
        "first_name": "STEPHANIE",
        "middle_name": "ELLEN",
        "name_prefix": "Mrs.",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-09",
        "last_updated": "2024-12-16",
        "certification_date": "2024-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "024120",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHANIE",
            "last_name": "KIRGAN",
            "middle_name": "ELLEN",
            "credential": "MS OTR/L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Mercury Michael Caronia V
• Kimberley Anne Carpenter, M.A., SLP-CCC
• Gianna Casamassima
• Kristy Elizabeth Castagna
• Yasmin Fernanda Castro Alvarado
• Arianna Cavallino
• Brianne Ceccio
• Dominique Kirsten Celis Pimentel, LPN
• Brenda Chang
• Jiabin Chen

• Occupational Therapist in Blue Point, NY
• Providers in Blue Point, 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 Dec 16, 2024; 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.