Active NPI
William Daniel Dease III, OTR
- Pediatric Occupational Therapist
- Syosset, NY
National Provider Identifier
1518285287
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- 007477
- Practice address
- 6800 Jericho Tpke
Suite 120W
Syosset, NY 11791-4436 - Phone
- (631) 600-3029
- Fax
- (800) 783-5909
- NPI assigned
- May 5, 2010
- 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 9
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 007477 | NY | |
| Environmental Modification Occupational Therapist | 225XE0001X | 007477 | NY | |
| Ergonomics Occupational Therapist | 225XE1200X | 007477 | NY | |
| Feeding, Eating & Swallowing Occupational Therapist | 225XF0002X | 007477 | NY | |
| Gerontology Occupational Therapist | 225XG0600X | 007477 | NY | |
| Neurorehabilitation Occupational Therapist | 225XN1300X | 007477 | NY | |
| Physical Rehabilitation Occupational Therapist | 225XP0019X | 007477 | NY | |
| Pediatric Occupational Therapist | 225XP0200X | 007477 | NY | Primary |
| Driving and Community Mobility Occupational Therapist | 225XR0403X | 007477 | NY |
Addresses
Primary practice location
6800 Jericho Tpke
Suite 120W
Syosset, NY 11791-4436
Mailing address
6800 Jericho Tpke
Suite 120W
Syosset, NY 11791-4436
Phone (631) 600-3029
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1273017600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1488240000000",
"number": "1518285287",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6800 JERICHO TPKE",
"address_2": "SUITE 120W",
"city": "SYOSSET",
"state": "NY",
"postal_code": "117914436",
"telephone_number": "631-600-3029",
"fax_number": "800-783-5909"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6800 JERICHO TPKE",
"address_2": "SUITE 120W",
"city": "SYOSSET",
"state": "NY",
"postal_code": "117914436",
"telephone_number": "631-600-3029",
"fax_number": "800-783-5909"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEASE",
"first_name": "WILLIAM",
"middle_name": "DANIEL",
"name_prefix": "Mr.",
"name_suffix": "III",
"credential": "OTR",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-05-05",
"last_updated": "2017-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NY",
"license": "007477",
"primary": false
},
{
"code": "225XE0001X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Environmental Modification",
"state": "NY",
"license": "007477",
"primary": false
},
{
"code": "225XE1200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Ergonomics",
"state": "NY",
"license": "007477",
"primary": false
},
{
"code": "225XF0002X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Feeding, Eating & Swallowing",
"state": "NY",
"license": "007477",
"primary": false
},
{
"code": "225XG0600X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Gerontology",
"state": "NY",
"license": "007477",
"primary": false
},
{
"code": "225XN1300X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Neurorehabilitation",
"state": "NY",
"license": "007477",
"primary": false
},
{
"code": "225XP0019X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Physical Rehabilitation",
"state": "NY",
"license": "007477",
"primary": false
},
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "NY",
"license": "007477",
"primary": true
},
{
"code": "225XR0403X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Driving and Community Mobility",
"state": "NY",
"license": "007477",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Syosset, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.