Nicole Alexis Pagano, OTR/L

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

028109 Issued in NY

Practice address

65 Parrott Rd
West Nyack, NY 10994-1025

Phone

(845) 627-4700

NPI assigned

Aug 14, 2023

Reactivated

Sep 14, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1691971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694649600000",
    "number": "1568245652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 BRAYFIELD CT",
            "city": "STONY POINT",
            "state": "NY",
            "postal_code": "109803718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 PARROTT RD",
            "city": "WEST NYACK",
            "state": "NY",
            "postal_code": "109941025",
            "telephone_number": "845-627-4700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAGANO",
        "first_name": "NICOLE",
        "middle_name": "ALEXIS",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-14",
        "last_updated": "2023-09-14",
        "certification_date": "2023-09-14",
        "deactivation_date": "2023-09-07",
        "reactivation_date": "2023-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NY",
            "license": "028109",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Maria Palmer, LCSW

• Pediatric Occupational Therapist in West Nyack, NY
• Providers in West Nyack, NY by specialty
• Pediatric Occupational Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 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.

Verify at the official NPI Registry.