Annelise R Thompson, OTR/L

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

P91033 Issued in NY

Practice address

1 Brandywine Dr
Deer Park, NY 11729-5721

Phone

(631) 392-0081

NPI assigned

Oct 16, 2013

Sex

Female

Sole proprietor

Yes

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)

Enrolled

State licenses

Practice roles

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

• Island Therapies of Suffolk, LLP

  • Speech-Language Pathologist
  • Deer Park, NY
  • NPI 1770624991
  NPD (past)

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

{
    "created_epoch": "1381881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575936000000",
    "number": "1629406244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "72 DOGWOOD DR",
            "city": "WADING RIVER",
            "state": "NY",
            "postal_code": "117921602",
            "telephone_number": "631-241-5659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 BRANDYWINE DR",
            "city": "DEER PARK",
            "state": "NY",
            "postal_code": "117295721",
            "telephone_number": "631-392-0081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "ANNELISE",
        "middle_name": "R",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-10-16",
        "last_updated": "2019-12-10",
        "certification_date": "2019-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NY",
            "license": "P91033",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• The Stop & Shop Supermarket Company LLC (Stop and Shop Pharmacy #557)
• Theory of Arts and Sciences LLC (k12 Scholars)
• Therapeutic Consulting Service
• Therapeutic Consulting Service OT PC
• Regine Thermidor
• Thomas P Tini, DC
• Gerard Toughey, PT
• Donato Tramontozzi
• True Blessings Companion Aides & Staffing Agency
• True North III DC LLC (Grand Boulevard Dialysis)

• Pediatric Occupational Therapist in Deer Park, NY
• Providers in Deer Park, 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 Dec 10, 2019; 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.