Individual provider Active NPI

Randee Lynne Zerner, OTR CHT CLT

  • Occupational Therapist
  • Commack, NY
National Provider Identifier
1558318261
Registry record updated Mar 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
006038 Issued in NY
Practice address
340 Veterans Memorial Hwy Ste 1
Commack, NY 11725-4300
Phone
(516) 732-0081
Fax
(631) 326-0984
NPI assigned
May 28, 2006
Last updated
Mar 23, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 23, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 006038 NY Primary

Addresses

Primary practice location

340 Veterans Memorial Hwy Ste 1
Commack, NY 11725-4300

Mailing address

249 Town Line Rd
E Northport, NY 11731-4732
Phone (631) 339-1777

Other identifiers 2

IdentifierTypeStateIssuer
QT8661OtherNYBCBS
P3481537OtherNYOXFORD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041109001254 NY Practitioner - Occupational Therapist in Private Practice 2961465067 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jr Care Physical Therapy and Occupational Therapy PLLCGroup PAC ID 8325496326, 2 clinicians

Practice addresses (Care Compare)

340 Veterans Memorial Hwy
Suite 1
Commack, NY 11725-4300
Phone (845) 682-3585

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
006038NYMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Jr Care Physical Therapy and Occupational Therapy PLLC Occupational Therapist CurrentSince Oct 18, 2023 Accepting new patients
Advanced Physical and Occupational Therapy PLLC Occupational Therapist Past Accepting new patients

Locations

340 Veterans Memorial Hwy
Ste 1
Commack, NY 11725
Phone (845) 682-3585

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1148774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679529600000",
    "number": "1558318261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "249 TOWN LINE RD",
            "city": "E NORTHPORT",
            "state": "NY",
            "postal_code": "117314732",
            "telephone_number": "631-339-1777",
            "fax_number": "631-368-1953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 VETERANS MEMORIAL HWY STE 1",
            "city": "COMMACK",
            "state": "NY",
            "postal_code": "117254300",
            "telephone_number": "516-732-0081",
            "fax_number": "631-326-0984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZERNER",
        "first_name": "RANDEE",
        "middle_name": "LYNNE",
        "name_prefix": "Mrs.",
        "credential": "OTR CHT CLT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-28",
        "last_updated": "2023-03-23",
        "certification_date": "2023-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "006038",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "QT8661",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P3481537",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Commack, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.