Active NPI
Michael D'Agostino, OT/L
- Occupational Therapist
- Hayward, CA
National Provider Identifier
1417694316
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 3695
- Practice address
- 21014 Hathaway Ave
Hayward, CA 94541-3733 - Phone
- (510) 708-6029
- NPI assigned
- May 13, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 3695 | CA | Primary |
Addresses
Primary practice location
21014 Hathaway Ave
Hayward, CA 94541-3733
Mailing address
21014 Hathaway Ave
Hayward, CA 94541-3733
Phone (510) 708-6029
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mdcaregiving@gamil.com | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4800 Aston Gardens Way
Naples, FL 34109-3501
Phone (239) 676-2080
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3695 | CA | MD | Occupational Therapist |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
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- Tampa, FL
- NPI 1407325467
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1652400000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1652400000000",
"number": "1417694316",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21014 HATHAWAY AVE",
"city": "HAYWARD",
"state": "CA",
"postal_code": "945413733",
"telephone_number": "510-708-6029"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21014 HATHAWAY AVE",
"city": "HAYWARD",
"state": "CA",
"postal_code": "945413733",
"telephone_number": "510-708-6029"
}
],
"practiceLocations": [],
"basic": {
"last_name": "D'AGOSTINO",
"first_name": "MICHAEL",
"name_prefix": "Mr.",
"credential": "OT/L",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-05-13",
"last_updated": "2022-05-13",
"certification_date": "2022-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CA",
"license": "3695",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mdcaregiving@gamil.com",
"affiliation": "N",
"endpointDescription": "business email",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"address_1": "21014 Hathaway Ave",
"city": "Hayward",
"state": "CA",
"country_code": "US",
"postal_code": "945413733",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Hayward, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.