Function at Home OT PC

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

010072 Issued in NY

Legal business name

FUNCTION AT HOME OT PC

Practice address

22 Northgate Dr
Greenlawn, NY 11740-2305

Phone

(631) 434-5597

NPI assigned

May 16, 2018

Last updated

May 16, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Donna M Cole, OTR/L, CLT

Title

Occupational Therapist

Phone

(516) 434-5597

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1526428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1526428800000",
    "number": "1508356387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 NORTHGATE DR",
            "city": "GREENLAWN",
            "state": "NY",
            "postal_code": "117402305",
            "telephone_number": "631-434-5597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 NORTHGATE DR",
            "city": "GREENLAWN",
            "state": "NY",
            "postal_code": "117402305",
            "telephone_number": "631-434-5597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FUNCTION AT HOME OT PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-16",
        "last_updated": "2018-05-16",
        "status": "A",
        "authorized_official_last_name": "COLE",
        "authorized_official_first_name": "DONNA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "516-434-5597",
        "authorized_official_credential": "OTR/L, CLT"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "010072",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Louise Fleece, CNM
• Mitchell David Forman, D.D.S.
• Harvey J Fox, R PH
• Lauren Fried, OTR/L
• Katharine Frost, MD
• Teresa G Gambardella, RPH
• Christina Gastaldi, MA
• William C Gehrhardt, M.D.
• Genovese Drug Stores Inc (Rite Aid Pharmacy)
• Juliana Anne Genovese-Doyle, PHD

• Occupational Therapist in Greenlawn, NY
• Providers in Greenlawn, NY by specialty
• Occupational Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.