Active NPI
Michael Langevin, MS OTR/L
- Occupational Therapist
- Massapequa Park, NY
National Provider Identifier
1518112580
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 013130
- Practice address
- 58 2ND Ave
Massapequa Park, NY 11762-2819 - Phone
- (516) 776-0816
- NPI assigned
- Nov 18, 2008
- Sex
- Male
- Sole proprietor
- Yes
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 | 013130 | NY | Primary |
Addresses
Primary practice location
58 2ND Ave
Massapequa Park, NY 11762-2819
Mailing address
58 2ND Ave
Massapequa Park, NY 11762-2819
Phone (516) 776-0816
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 013130 | NY | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1226966400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1226966400000",
"number": "1518112580",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "58 2ND AVE",
"city": "MASSAPEQUA PARK",
"state": "NY",
"postal_code": "117622819",
"telephone_number": "516-776-0816"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "58 2ND AVE",
"city": "MASSAPEQUA PARK",
"state": "NY",
"postal_code": "117622819",
"telephone_number": "516-776-0816"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LANGEVIN",
"first_name": "MICHAEL",
"credential": "MS OTR/L",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-11-18",
"last_updated": "2008-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NY",
"license": "013130",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Massapequa Park, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.