Active NPI
Nancy Shea Carella, OTR
- Occupational Therapist
- Dix Hills, NY
National Provider Identifier
1518234335
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 002003-1
- Practice address
- 35 Carman Rd
Dix Hills, NY 11746-5651 - Phone
- (631) 549-5580
- NPI assigned
- Nov 22, 2011
- Last updated
- Nov 22, 2011
- 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 | 002003-1 | NY | Primary |
Addresses
Primary practice location
35 Carman Rd
Dix Hills, NY 11746-5651
Mailing address
56 Meadowbrook Dr
Huntington Station, NY 11746-2948
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 |
|---|---|---|---|
| 002003-1 | NY | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1321920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1321920000000",
"number": "1518234335",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "56 MEADOWBROOK DR",
"city": "HUNTINGTON STATION",
"state": "NY",
"postal_code": "117462948"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "35 CARMAN RD",
"city": "DIX HILLS",
"state": "NY",
"postal_code": "117465651",
"telephone_number": "631-549-5580"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARELLA",
"first_name": "NANCY",
"middle_name": "SHEA",
"name_prefix": "Mrs.",
"credential": "OTR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-11-22",
"last_updated": "2011-11-22",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NY",
"license": "002003-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dix Hills, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.