Active NPI
Joanne C. Villani, P.T.
- Contractor
- Massapequa, NY
National Provider Identifier
1497892947
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Contractor
- License
- 008882-1
- Practice address
- 4180 Sunrise Hwy
Massapequa, NY 11758-5303 - Phone
- (516) 541-7500
- Fax
- (516) 541-7503
- NPI assigned
- Jan 31, 2007
- 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 |
|---|---|---|---|---|
| Contractor | 171W00000X | 008882-1 | NY | Primary |
Addresses
Primary practice location
4180 Sunrise Hwy
Massapequa, NY 11758-5303
Mailing address
6 Bar Beach Rd
Port Washington, NY 11050-4002
Phone (516) 767-9128
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 008882-1 | NY | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170201600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1256774400000",
"number": "1497892947",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6 BAR BEACH RD",
"city": "PORT WASHINGTON",
"state": "NY",
"postal_code": "110504002",
"telephone_number": "516-767-9128",
"fax_number": "516-767-9128"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4180 SUNRISE HWY",
"city": "MASSAPEQUA",
"state": "NY",
"postal_code": "117585303",
"telephone_number": "516-541-7500",
"fax_number": "516-541-7503"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VILLANI",
"first_name": "JOANNE",
"middle_name": "C.",
"name_prefix": "Miss",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-31",
"last_updated": "2009-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "171W00000X",
"taxonomy_group": "",
"desc": "Contractor",
"state": "NY",
"license": "008882-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Massapequa, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.