Active NPI
Casey L Stewart, OTR/L
- Occupational Therapist
- Long Beach, NY
National Provider Identifier
1649600875
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 63018467
- Practice address
- 19 Maryland Ave
Apt 1
Long Beach, NY 11561-1256 - Phone
- (516) 835-9961
- NPI assigned
- Nov 25, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 63018467 | NY | Primary |
Addresses
Primary practice location
19 Maryland Ave
Apt 1
Long Beach, NY 11561-1256
Mailing address
19 Maryland Ave
Apt 1
Long Beach, NY 11561-1256
Phone (516) 835-9961
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 63018467 | NY | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1385337600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1487635200000",
"number": "1649600875",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19 MARYLAND AVE",
"address_2": "APT 1",
"city": "LONG BEACH",
"state": "NY",
"postal_code": "115611256",
"telephone_number": "516-835-9961"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19 MARYLAND AVE",
"address_2": "APT 1",
"city": "LONG BEACH",
"state": "NY",
"postal_code": "115611256",
"telephone_number": "516-835-9961"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEWART",
"first_name": "CASEY",
"middle_name": "L",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-11-25",
"last_updated": "2017-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NY",
"license": "63018467",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Long Beach, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.