Nicholas James Durso, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Practice address

745 State Route 17M Ste 104
Monroe, NY 10950-2663

Phone

(845) 782-3200

NPI assigned

Aug 3, 2021

Sex

Male

Sole proprietor

No

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

Enrolled in NY

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Access PT, OT, New York, PLLC

  • Physical Therapist
  • New City, NY
  • NPI 1831539493
  Medicare reassignment NPD
• Aizer Health , Inc.

  • Federally Qualified Health Center (FQHC)
  • Monroe, NY
  • NPI 1063480218
  Medicare reassignment NPD
• Aizer Health , Inc.

  • Federally Qualified Health Center (FQHC)
  • Monroe, NY
  • NPI 1528941689
  NPD

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

{
    "created_epoch": "1627948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627948800000",
    "number": "1629742747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 MAYBROOK RD STE B",
            "city": "CAMPBELL HALL",
            "state": "NY",
            "postal_code": "109162742",
            "telephone_number": "845-636-4344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "745 STATE ROUTE 17M STE 104",
            "city": "MONROE",
            "state": "NY",
            "postal_code": "109502663",
            "telephone_number": "845-782-3200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DURSO",
        "first_name": "NICHOLAS",
        "middle_name": "JAMES",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-08-03",
        "last_updated": "2021-08-03",
        "certification_date": "2021-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dr Noah Gutierrez MD PC
• Dr. Columbia Miller
• Aviva Dror
• DSSR Inc
• Katie J Duggan, FNP
• Dynamic Center, Inc
• Danielle Theresa Dziedzic, M.D.
• Shannon Early, LCSW
• Eckerd Corporation (Rite Aid Pharmacy)
• Edamar Ambulette Transpport LLC

• Occupational Therapist in Monroe, NY
• Providers in Monroe, NY by specialty
• Occupational Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.