A.B.L.E. Occupational Therapy LLC

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

006354-1 Issued in NY

Legal business name

A.B.L.E. OCCUPATIONAL THERAPY LLC

Practice address

322 Lathrop Ave
Staten Island, NY 10302-2532

Phone

(917) 428-0963

Fax

(718) 448-1053

NPI assigned

Mar 17, 2016

Organization subpart

No

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

Authorized official

Name

Daniel F Matrecano, PT

Title

Owner

Phone

(917) 428-0963

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1458172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458172800000",
    "number": "1609237668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "322 LATHROP AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103022532",
            "telephone_number": "917-428-0963",
            "fax_number": "718-448-1053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "322 LATHROP AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103022532",
            "telephone_number": "917-428-0963",
            "fax_number": "718-448-1053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A.B.L.E. OCCUPATIONAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-17",
        "last_updated": "2016-03-17",
        "status": "A",
        "authorized_official_last_name": "MATRECANO",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-428-0963",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "006354-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Staten Island, NY
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2016; 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.