Active NPI
Marc Recio, OT
- Occupational Therapist
- East Patchogue, NY
National Provider Identifier
1528673647
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 021010-1
- Practice address
- 191 Patchogue Yaphank Rd
East Patchogue, NY 11772-4899 - Phone
- (631) 775-0971
- Fax
- (631) 475-0975
- NPI assigned
- Sep 15, 2020
- Last updated
- Nov 27, 2023
- Sex
- Male
- 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 | 021010-1 | NY | Primary |
Addresses
Primary practice location
191 Patchogue Yaphank Rd
East Patchogue, NY 11772-4899
Mailing address
191 Patchogue Yaphank Rd
East Patchogue, NY 11772-4899
Phone (631) 775-0971
Other practice location 1
518 E Main St Ste 100
Riverhead, NY 11901-2529
Phone (631) 591-0838
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | professionalcarept.com | Direct | Professional Care Physical Therapy and Rehabilitation P.C |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 021010-1 | NY | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1600128000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701043200000",
"number": "1528673647",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "191 PATCHOGUE YAPHANK RD",
"city": "EAST PATCHOGUE",
"state": "NY",
"postal_code": "117724899",
"telephone_number": "631-775-0971",
"fax_number": "631-475-0975"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "191 PATCHOGUE YAPHANK RD",
"city": "EAST PATCHOGUE",
"state": "NY",
"postal_code": "117724899",
"telephone_number": "631-775-0971",
"fax_number": "631-475-0975"
}
],
"practiceLocations": [
{
"address_1": "518 E Main St Ste 100",
"address_purpose": "LOCATION",
"city": "Riverhead",
"state": "NY",
"postal_code": "119012529",
"country_code": "US",
"telephone_number": "631-591-0838",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RECIO",
"first_name": "MARC",
"name_prefix": "Mr.",
"credential": "OT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-09-15",
"last_updated": "2023-11-27",
"certification_date": "2020-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NY",
"license": "021010-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "professionalcarept.com",
"affiliation": "Y",
"endpointDescription": "Website",
"affiliationName": "Professional Care Physical Therapy and Rehabilitation P.C",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "191 Patchogue Yaphank Rd",
"city": "East Patchogue",
"state": "NY",
"country_code": "US",
"postal_code": "117724899",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in East Patchogue, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.