Active NPI
Kaitlyn Cammarano, OTR/L
- Occupational Therapist
- Farmingville, NY
National Provider Identifier
1497353759
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 025082
- Practice address
- 50 Lynwood Ave
Farmingville, NY 11738-1981 - Phone
- (631) 696-8650
- NPI assigned
- Oct 9, 2020
- Sex
- Female
- Sole proprietor
- No
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 | 025082 | NY | Primary |
Addresses
Primary practice location
50 Lynwood Ave
Farmingville, NY 11738-1981
Mailing address
30 White Oak CT
Coram, NY 11727-1865
Phone (631) 316-1378
Other practice location 1
865 Hawkins Ave
Lake Grove, NY 11755-3217
Phone (631) 471-1800
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 025082 | NY | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1602201600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1602201600000",
"number": "1497353759",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30 WHITE OAK CT",
"city": "CORAM",
"state": "NY",
"postal_code": "117271865",
"telephone_number": "631-316-1378"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "50 LYNWOOD AVE",
"city": "FARMINGVILLE",
"state": "NY",
"postal_code": "117381981",
"telephone_number": "631-696-8650"
}
],
"practiceLocations": [
{
"address_1": "865 Hawkins Ave",
"address_purpose": "LOCATION",
"city": "Lake Grove",
"state": "NY",
"postal_code": "117553217",
"country_code": "US",
"telephone_number": "631-471-1800",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CAMMARANO",
"first_name": "KAITLYN",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-10-09",
"last_updated": "2020-10-09",
"certification_date": "2020-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NY",
"license": "025082",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Farmingville, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.