Individual provider Active NPI

Carly Adessa

  • Occupational Therapist
  • Great Neck, NY
National Provider Identifier
1619760972
Registry record updated May 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
030230 Issued in NY
Practice address
96 Cuttermill Rd
Great Neck, NY 11021-3155
Phone
(516) 660-7094
NPI assigned
May 28, 2025
Last updated
May 28, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 030230 NY Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250612000008 NY Practitioner - Occupational Therapist in Private Practice 1759891344 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
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 IncGroup PAC ID 2668463522, 61 clinicians

Practice addresses (Care Compare)

100 Peninsula Blvd
Lynbrook, NY 11563-3250
Phone (516) 400-6384

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
030230NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Anchor Health Homecare Services Inc Occupational Therapist CurrentSince Oct 5, 2025 Accepting new patients
Onr National Speech Pathology Inc CurrentSince May 28, 2025 Accepting new patients

Locations

1335 Strassner Dr
Saint Louis, MO 63144
Phone (314) 287-3917

46 Cook St
Brooklyn, NY 11206
Phone (718) 701-7300

100 Peninsula Blvd
Lynbrook, NY 11563
Phone (516) 596-2700

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1748390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748390400000",
    "number": "1619760972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13 EVANS AVE",
            "city": "ALBERTSON",
            "state": "NY",
            "postal_code": "115071901",
            "telephone_number": "516-660-7094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "96 CUTTERMILL RD",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110213155",
            "telephone_number": "516-660-7094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADESSA",
        "first_name": "CARLY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-05-28",
        "last_updated": "2025-05-28",
        "certification_date": "2025-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "030230",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Great Neck, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.