Holistic Function and Rehabilitation Services LLC

Primary specialty

Rehabilitation Clinic/CenterTaxonomy code 261QR0400X

Legal business name

HOLISTIC FUNCTION AND REHABILITATION SERVICES LLC

Practice address

209 Pointe Cir N
Coram, NY 11727-1543

Phone

(631) 921-1215

NPI assigned

Nov 6, 2024

Last updated

Nov 6, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jillian M Secreto, OTNPI 1447765458

Title

President / Employee

Phone

(631) 921-1215

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Jillian M Secreto, OTR/L

  • Occupational Therapist
  • Brooklyn, NY
  • NPI 1447765458
  NPD Authorized official

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

{
    "created_epoch": "1730851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730851200000",
    "number": "1659194710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 POINTE CIR N",
            "city": "CORAM",
            "state": "NY",
            "postal_code": "117271543",
            "telephone_number": "631-921-1215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 POINTE CIR N",
            "city": "CORAM",
            "state": "NY",
            "postal_code": "117271543",
            "telephone_number": "631-921-1215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLISTIC FUNCTION AND REHABILITATION SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-06",
        "last_updated": "2024-11-06",
        "certification_date": "2024-10-07",
        "status": "A",
        "authorized_official_last_name": "SECRETO",
        "authorized_official_first_name": "JILLIAN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT / EMPLOYEE",
        "authorized_official_telephone_number": "631-921-1215",
        "authorized_official_credential": "OT"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Candice Henry
• Damaris Henry
• Highland Valley Medical Care PLLC
• Codi Hill, MSW
• Kristen L Hoey, LMHC
• Holleywood Home Care Inc
• Micheal Ray Homan
• Jessica Houston, LMHC
• Aloysius Howell
• Marie Hudson-Yonkes, RN

• Rehabilitation Clinic/Center in Coram, NY
• Providers in Coram, NY by specialty
• Rehabilitation Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2024; 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.