Active NPI
Signature Hand Therapy O.T. P.C.
- Hand Occupational Therapist
- Bay Shore, NY
National Provider Identifier
1558486605
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hand Occupational Therapist
- License
- 007141-1
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Hand Occupational Therapist | 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 DirectoryLocations
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.