NPIMap

Organization Active NPI

Sports Physical Therapy Occupational Therapy and Rehabilitation Servic

  • Occupational Therapist
  • White Plains, NY
National Provider Identifier
1629825591
Registry record updated Dec 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Legal business name
SPORTS PHYSICAL THERAPY OCCUPATIONAL THERAPY AND REHABILITATION SERVIC
Practice address
222 Mamaroneck Ave FL 2
White Plains, NY 10605-1303
Phone
(914) 948-3893
NPI assigned
Apr 30, 2024
Last updated
Dec 11, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
SPORTS PHYSICAL THERAPY OCCUPATIONA THERAPY AND REHABILITATION SERVICEAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 11, 2024

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

Authorized official

Name
Daniel Vaknin
Title
VP
Phone
(516) 321-7801

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X NU Primary

Addresses

Primary practice location

222 Mamaroneck Ave FL 2
White Plains, NY 10605-1303

Mailing address

3 Huntington Quadrangle Ste 103N
Melville, NY 11747-4601
Phone (516) 474-2816

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250116001346 NY DME Supplier - Independently-Practicing Occupational Therapist 0446140446 Practice locations: White Plains, NY

Other NPIs with the same Medicare PAC ID 19

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

View all 19

National Provider Directory

National Provider Directory
Tax ID family
Sports Phys Ther and Reha26 organizations share this tax ID, including this one
Part of
Sports Phys Ther and Reha

Other organizations with this tax ID 25

Organizations that report the same tax identification number in the National Provider Directory.

View all 25

Locations (25 of 28)

376 E Main St
Ste 201
Bay Shore, NY 11706
Phone (631) 273-3080

3629 Bell Blvd
Lowr
Bayside, NY 11361
Phone (929) 220-8300

705 86th St
Brooklyn, NY 11228
Phone (718) 226-6988

1948 Deer Park Ave
Deer Park, NY 11729
Phone (631) 414-3191

200 Merrick Ave
East Meadow, NY 11554
Phone (516) 266-5700

8000 Cooper Ave
Ste 2
Glendale, NY 11385
Phone (718) 725-7970

833 Northern Blvd
Ste 235
Great Neck, NY 11021
Phone (516) 288-3400

3500 Sunrise Hwy
Great River, NY 11739
Phone (631) 414-3191

284 Pulaski Rd
#2
Greenlawn, NY 11740
Phone (631) 271-1608

400 Park Ave
Huntington, NY 11743
Phone (631) 424-3787

1554 Northern Blvd
Ste 202
Manhasset, NY 11030
Phone (516) 325-7107

496 County Road 111
Bldg G
Manorville, NY 11949
Phone (516) 414-3191

559 Gramatan Ave
Ste 203
Mount Vernon, NY 10552
Phone (914) 371-1990

1333 North Ave
Ste B
New Rochelle, NY 10804
Phone (914) 303-8434

132 W 96th St
Ste 1A
New York, NY 10025
Phone (212) 249-2506

2067 Broadway
Fl 4
New York, NY 10023
Phone (212) 799-0160

225 E 64th St
Lowr A
New York, NY 10065
Phone (212) 434-4429

2465 Broadway
Lowr
New York, NY 10025
Phone (212) 877-2525

1201 Route 112
Ste 700
Port Jefferson Station, NY 11776
Phone (631) 928-8228

9525 Queens Blvd
Ste 3D
Rego Park, NY 11374
Phone (718) 925-6212

333 Route 25A
Ste 240
Rocky Point, NY 11778
Phone (631) 821-5500

4 Expressway Plz
Roslyn Heights, NY 11577
Phone (516) 621-1170

Expy PLZ 4
Ste 110
Roslyn Heights, NY 11577
Phone (516) 621-1170

222 E Middle Country Rd
Ste 210
Smithtown, NY 11787
Phone (631) 265-6868

686 County Road 39A
Southampton, NY 11968
Phone (631) 283-0355

Practitioners & affiliated clinicians

Practitioners 785

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 785

NPI Registry JSON

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

{
    "created_epoch": "1714435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733875200000",
    "number": "1629825591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 HUNTINGTON QUADRANGLE STE 103N",
            "city": "MELVILLE",
            "state": "NY",
            "postal_code": "117474601",
            "telephone_number": "516-474-2816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 MAMARONECK AVE FL 2",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106051303",
            "telephone_number": "914-948-3893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPORTS PHYSICAL THERAPY OCCUPATIONAL THERAPY AND REHABILITATION SERVIC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SPORTS PHYSICAL THERAPY OCCUPATIONA THERAPY AND REHABILITATION SERVICE",
        "enumeration_date": "2024-04-30",
        "last_updated": "2024-12-11",
        "certification_date": "2024-12-11",
        "status": "A",
        "authorized_official_last_name": "VAKNIN",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "516-321-7801"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in White Plains, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2024; 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.