C.J. Allen OT Upper Extremity & Hand Therapy, PLLC

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

Legal business name

C.J. ALLEN OT UPPER EXTREMITY & HAND THERAPY, PLLC

Practice address

290 E Main St Ste 400
Smithtown, NY 11787-2916

Phone

(631) 761-6996

Fax

(631) 761-6997

NPI assigned

Mar 31, 2023

Organization subpart

Yes

Parent organization

CJ ALLEN OT UPPER EXTREMITY & HAND THERAPY, PLLCAs reported in NPPES

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

Authorized official

Name

Charles J Allen, OTR/L, CHTNPI 1548216237

Title

Owner

Phone

(631) 761-6996

Specialties & licenses 2

Addresses

Other names 1

• CJ Allen OT Upper Extremity & Hand Therapy, PLLC Former legal business name

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• C.J. Allen OT Upper Extremity & Hand Therapy, PLLC

  dba C.J. Allen OT CHT Upper Extremity & Hand Therapy, PLLC

  • Hand Occupational Therapist
  • Hauppauge, NY
  • NPI 1942699749

  O20150316002086

  Same enrollment

Part of

CJ Allen OT Upper Extremity Hand Therapy PLLC

Locations

Practitioners 3

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.

• Charles J Allen, OTR/L,CHT

  • Occupational Therapist
  • Hauppauge, NY
  • NPI 1548216237
  NPD Authorized official
• Sarah Marie Exposito, OTR/L

  • Occupational Therapist
  • Hauppauge, NY
  • NPI 1104400969
  NPD
• Anthony Michael Kiriakos, OTR/L

  • Occupational Therapist
  • Massapequa, NY
  • NPI 1356982243
  NPD

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

{
    "created_epoch": "1680220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680652800000",
    "number": "1447955356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2108 JOSHUAS PATH",
            "city": "HAUPPAUGE",
            "state": "NY",
            "postal_code": "117884764",
            "telephone_number": "631-761-6996",
            "fax_number": "631-761-6997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "290 E MAIN ST STE 400",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117872916",
            "telephone_number": "631-761-6996",
            "fax_number": "631-761-6997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "C.J. ALLEN OT UPPER EXTREMITY & HAND THERAPY, PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CJ ALLEN OT UPPER EXTREMITY & HAND THERAPY, PLLC",
        "enumeration_date": "2023-03-31",
        "last_updated": "2023-04-05",
        "certification_date": "2023-04-05",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-761-6996",
        "authorized_official_credential": "OTR/L, CHT"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CJ Allen OT Upper Extremity & Hand Therapy, PLLC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "CJ Allen OT Upper Extremity & Hand Therapy, PLLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Michele Jodi Burstin, MSW
• Kimberly Corson Burton, LMSW
• Jami Busuttil, L.C.A.T.
• Marni Butchkoski, LMSW
• Jessica Butindari, MS
• Andrew Robert Caccamo
• Gina Cacciuttolo
• Michaele Anne Cahill, LMSW
• Paul John Caiati, MD
• Joseph Calandrino, M.D.

• Customized Equipment (DME) in Smithtown, NY
• Providers in Smithtown, NY by specialty
• Customized Equipment (DME) in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.