Regina Vetack, COTA
Individual provider Active NPI Occupational Therapy Assistant · Westhampton, NY
NPI 1508067612 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1508067612
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapy Assistant 224Z00000X
- License
- 004042-1 (NY)
- Practice address
- 78 Old Country Rd
Westhampton, NY 11977-1219 - Phone
- (631) 288-0101
- NPI assigned
- May 29, 2007
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 004042-1 | NY | MD | Occupational Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 004042-1 | NY | Yes |
Addresses
Primary practice location
78 Old Country Rd
Westhampton, NY 11977-1219
Mailing address
32 Bass CT
Manorville, NY 11949-2609
Phone (516) 314-3984
Other providers in Westhampton, NY
- Terry Jon Scammell
- Elaine Smith
- So Chat Tap2Chat, Inc.
- Roberta Swilling
- The Sensory Center for Occupational Therapy
- Karan Wadhwa
- Eric Paul Wieber
- Rebecca Wiseman
- Jessica Zerbo
All providers in Westhampton, NY · Occupational Therapy Assistant in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.