Mario Francis Pellegrino, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

005347 Issued in NY

Practice address

4 Carlton CT
New City, NY 10956-5830

Phone

(845) 893-7550

Fax

(845) 639-6749

NPI assigned

Dec 9, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Mario F Pellegrino Peds OT PC

  • Local Education Agency (LEA)
  • New City, NY
  • NPI 1043591894
  NPD (past) Authorized official

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

{
    "created_epoch": "1228780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493164800000",
    "number": "1427293273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 CARLTON CT",
            "city": "NEW CITY",
            "state": "NY",
            "postal_code": "109565830",
            "telephone_number": "845-893-7550",
            "fax_number": "845-639-6749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 CARLTON CT",
            "city": "NEW CITY",
            "state": "NY",
            "postal_code": "109565830",
            "telephone_number": "845-893-7550",
            "fax_number": "845-639-6749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PELLEGRINO",
        "first_name": "MARIO",
        "middle_name": "FRANCIS",
        "name_prefix": "Mr.",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-12-09",
        "last_updated": "2017-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CT",
            "license": "002641",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "005347",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ronald A. Pavia, D.C.
• Peach Tree Rehabilitation Inc
• Peachtree Applied Behavior Analysis PLLC
• Pediatric and Adolescent Dentistry of Rockland County, P.C.
• Christine Grace Pellegrino, OTR/L
• Madhuri L Pendyala, M.D
• Bertram Pepper, MD
• Maritza L Peralta
• Jennifer Louise Perrone, LMHC, LCAT
• Brynn Perry, MS ,CCC ,SLP

• Occupational Therapist in New City, NY
• Providers in New City, 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 Apr 26, 2017; 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.