Organization Active NPI

Maria C. Connolly, Occupational Therapy, PLLC

  • Occupational Therapist
  • Huntington, NY
National Provider Identifier
1568973667
Registry record updated Oct 16, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Legal business name
MARIA C. CONNOLLY, OCCUPATIONAL THERAPY, PLLC
Practice address
140 E Main St Ste 11a
Huntington, NY 11743-2864
Phone
(631) 786-4767
NPI assigned
Oct 16, 2017
Last updated
Oct 16, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2017

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

Authorized official

Name
Maria Chiulli Connolly, MA/OTR
Title
Occupational Therapist
Phone
(631) 786-4767

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X NU Primary
Pediatric Occupational Therapist 225XP0200X NU

Addresses

Primary practice location

140 E Main St Ste 11a
Huntington, NY 11743-2864

Mailing address

9 Lovers LN
Huntington, NY 11743-1856
Phone (631) 786-4767

National Provider Directory

National Provider Directory

Locations

140 E Main St
Ste 11A
Huntington, NY 11743
Phone (631) 392-8862

NPI Registry JSON

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

{
    "created_epoch": "1508112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1508112000000",
    "number": "1568973667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 LOVERS LN",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117431856",
            "telephone_number": "631-786-4767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 E MAIN ST STE 11A",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117432864",
            "telephone_number": "631-786-4767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIA C. CONNOLLY, OCCUPATIONAL THERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-16",
        "last_updated": "2017-10-16",
        "status": "A",
        "authorized_official_last_name": "CHIULLI CONNOLLY",
        "authorized_official_first_name": "MARIA",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "631-786-4767",
        "authorized_official_credential": "MA/OTR"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2017; 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.