Organization Active NPI

Signature Hand Therapy O.T. P.C.

  • Hand Occupational Therapist
  • Bay Shore, NY
National Provider Identifier
1558486605
Registry record updated Aug 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hand Occupational TherapistTaxonomy code 225XH1200X
License
007141-1 Issued in NY
Legal business name
SIGNATURE HAND THERAPY O.T. P.C.
Practice address
1555 Sunrise Hwy
Suite 2
Bay Shore, NY 11706-6027
Phone
(631) 206-3130
Fax
(631) 206-3148
NPI assigned
Mar 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2010

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

Authorized official

Name
Ms. Alexandra Demetriou, OTRL CHT
Title
Occupational Therapist Owner
Phone
(631) 206-3130

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hand Occupational TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225XH1200X 007141-1 NY Primary

Addresses

Primary practice location

1555 Sunrise Hwy
Suite 2
Bay Shore, NY 11706-6027

Mailing address

1555 Sunrise Hwy
Suite 2
Bay Shore, NY 11706-6027
Phone (631) 206-3130

National Provider Directory

National Provider Directory

Locations

380 Townline Rd
Ste 140
Hauppauge, NY 11788
Phone (631) 360-7818

222 E Middle Country Rd
Ste 222
Smithtown, NY 11787
Phone (631) 360-7818

NPI Registry JSON

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283126400000",
    "number": "1558486605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1555 SUNRISE HWY",
            "address_2": "SUITE 2",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117066027",
            "telephone_number": "631-206-3130",
            "fax_number": "631-206-3148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1555 SUNRISE HWY",
            "address_2": "SUITE 2",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117066027",
            "telephone_number": "631-206-3130",
            "fax_number": "631-206-3148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIGNATURE HAND THERAPY O.T. P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-20",
        "last_updated": "2010-08-30",
        "status": "A",
        "authorized_official_last_name": "DEMETRIOU",
        "authorized_official_first_name": "ALEXANDRA",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST OWNER",
        "authorized_official_telephone_number": "631-206-3130",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "OTRL  CHT"
    },
    "taxonomies": [
        {
            "code": "225XH1200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist, Hand",
            "state": "NY",
            "license": "007141-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bay Shore, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.