Individual provider Active NPI

Allison M Skolnick, OTR/L

  • Occupational Therapist
  • Hauppauge, NY
National Provider Identifier
1487428132
Registry record updated Apr 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
028622 Issued in NY
Practice address
611 Old Willets Path Ste 105
Hauppauge, NY 11788-4115
Phone
(631) 232-5350
Fax
(631) 232-1583
NPI assigned
Nov 13, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 24, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 028622 NY Primary

Addresses

Primary practice location

611 Old Willets Path Ste 105
Hauppauge, NY 11788-4115

Mailing address

800 E Gate Blvd
Garden City, NY 11530-2105
Phone (516) 745-8050

Other practice location 1

1312 Middle Country Rd
Selden, NY 11784-2514
Phone (631) 732-0700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240213003713 NY Practitioner - Occupational Therapist in Private Practice 2567806953 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New York UniversityGroup PAC ID 1355232422, 5,925 clinicians

Practice addresses (Care Compare)

4080 Hempstead Tpke
Bethpage, NY 11714-5604
Phone (516) 745-8070

9785 Queens Blvd
Rego Park, NY 11374-3319
Phone (718) 261-9100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
028622NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Metro Physical Occupational Speech Massage Therapy & Acupuncture PLLC Occupational Therapist CurrentSince Dec 24, 2023 Accepting new patients
Sherrie Glasser, Physical Therapist. PC Past Accepting new patients

Locations

4080 Hempstead Tpke
Bethpage, NY 11714
Phone (516) 738-4844

6112 Jericho Tpke
Commack, NY 11725
Phone (631) 486-6060

15 Frowein Rd
Bldg A1
Ctr Moriches, NY 11934
Phone (631) 617-6265

800 E Gate Blvd
Garden City, NY 11530

50 Glen Cove Rd
Greenvale, NY 11548
Phone (516) 200-3545

611 Old Willets Path
Ste 105
Hauppauge, NY 11788
Phone (631) 232-5350

1150 Portion Rd
Ste 3
Holtsville, NY 11742
Phone (631) 304-0781

322 W Main St
Patchogue, NY 11772
Phone 5167458070520

510 Old Country Rd
Plainview, NY 11803
Phone (516) 433-6662

11701 84th Ave
Richmond Hill, NY 11418
Phone (718) 441-0300

1312 Middle Country Rd
Selden, NY 11784
Phone (631) 698-6556

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1699833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713916800000",
    "number": "1487428132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 E GATE BLVD",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115302105",
            "telephone_number": "516-745-8050",
            "fax_number": "516-745-6766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 OLD WILLETS PATH STE 105",
            "city": "HAUPPAUGE",
            "state": "NY",
            "postal_code": "117884115",
            "telephone_number": "631-232-5350",
            "fax_number": "631-232-1583"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1312 Middle Country Rd",
            "address_purpose": "LOCATION",
            "city": "Selden",
            "state": "NY",
            "postal_code": "117842514",
            "country_code": "US",
            "telephone_number": "631-732-0700",
            "fax_number": "631-732-9046",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SKOLNICK",
        "first_name": "ALLISON",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-11-13",
        "last_updated": "2024-04-24",
        "certification_date": "2024-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "028622",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hauppauge, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2024; 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.

Verify at the official NPI Registry.