Carly Adessa
Individual provider Active NPI Occupational Therapist · Great Neck, NY
NPI 1619760972 · NPPES record last updated May 28, 2025
Key facts
- NPI
- 1619760972
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- 030230 (NY)
- Practice address
- 96 Cuttermill Rd
Great Neck, NY 11021-3155 - Phone
- (516) 660-7094
- NPI assigned
- May 28, 2025
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2025
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Onr National Speech Pathology Inc
Practice addresses (Care Compare)
100 Peninsula Blvd
Lynbrook, NY 11563-3250
Phone (516) 400-6384
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250612000008 | NY | Practitioner - Occupational Therapist in Private Practice | 1759891344 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 030230 | NY | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Onr National Speech Pathology Inc | Current |
Accepting new patients | |
| Anchor Health Homecare Services Inc | Occupational Therapist | Current |
Accepting new patients |
Locations
1335 Strassner Dr
Saint Louis, MO 63144
Phone (314) 673-6723
46 Cook St
Brooklyn, NY 11206
Phone (718) 701-7300
100 Peninsula Blvd
Lynbrook, NY 11563
Phone (516) 596-2700
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 030230 | NY | Yes |
Addresses
Primary practice location
96 Cuttermill Rd
Great Neck, NY 11021-3155
Mailing address
13 Evans Ave
Albertson, NY 11507-1901
Phone (516) 660-7094
Other providers in Great Neck, NY
- Adam D Cohen MD PC
- Andrea Sannette Adams
- Christine Joy R Adan
- Adapt Recovery Corp
- Robert David Ades
- Joan D Adickman
- Steven Joel Adlow
- Barbara A Adomsky
- Advance Carevana Inc
- Advanced Internal Medicine, P.C.
All providers in Great Neck, NY · Occupational Therapist in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 28, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.