Active NPI
Nina Samaha Reiten, MS, OTR/L
- Occupational Therapist
- Boiceville, NY
National Provider Identifier
1558506121
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 013620-1
- Practice address
- 4166 State Route 28
Boiceville, NY 12412-5203 - Phone
- (845) 750-1146
- NPI assigned
- Dec 10, 2008
- Last updated
- Dec 12, 2022
- Sex
- Female
- 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 | 013620-1 | NY | Primary |
Addresses
Primary practice location
4166 State Route 28
Boiceville, NY 12412-5203
Mailing address
PO Box 600
Boiceville, NY 12412-0600
Phone (845) 750-1146
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)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 013620-1 | NY | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1228867200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1670803200000",
"number": "1558506121",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 600",
"city": "BOICEVILLE",
"state": "NY",
"postal_code": "124120600",
"telephone_number": "845-750-1146"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4166 STATE ROUTE 28",
"city": "BOICEVILLE",
"state": "NY",
"postal_code": "124125203",
"telephone_number": "845-750-1146"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REITEN",
"first_name": "NINA",
"middle_name": "SAMAHA",
"name_prefix": "Mrs.",
"credential": "MS, OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-12-10",
"last_updated": "2022-12-12",
"certification_date": "2022-12-12",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NY",
"license": "013620-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boiceville, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.