Individual provider Active NPI

Danielle Elizabeth Mastrianni

  • Occupational Therapist
  • Clifton Park, NY
National Provider Identifier
1659836955
Registry record updated Jan 31, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Practice address
1 Emma LN
Clifton Park, NY 12065-3763
Phone
(518) 371-2200
NPI assigned
Jan 31, 2019
Last updated
Jan 31, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 31, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X NU Primary

Addresses

Primary practice location

1 Emma LN
Clifton Park, NY 12065-3763

Mailing address

14 Ruth Ter
Albany, NY 12203-4216
Phone (518) 878-8409

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190228002781 NY Practitioner - Occupational Therapist in Private Practice 3476892837 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1 Ascot LN
Schenectady, NY 12309-4962
Phone (518) 280-8361

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
023298NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
PRN Physical, Occupational and Speech Therapy Network, PLLC CurrentSince Feb 1, 2019 Accepting new patients
PRN Physical, Occupational and Speech Therapy Network, PLLC CurrentSince Feb 1, 2019 Accepting new patients
Weston Paxxon PT, OT & SLP, PLLC Occupational Therapist Past Accepting new patients

Locations

345 Northern Blvd
Albany, NY 12204
Phone (518) 462-1689

1 Emma Ln
Clifton Park, NY 12065
Phone (518) 280-5867

20 Peachtree Ct
Ste 105
Holbrook, NY 11741
Phone (518) 253-4983

1 Ascot Ln
Schenectady, NY 12309
Phone (518) 280-8308

3359 Consaul Rd
Schenectady, NY 12304
Phone (518) 370-4419

2222 Sullivan Trl
Ste 105
Easton, PA 18040
Phone (574) 261-7058

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1548892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548892800000",
    "number": "1659836955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 RUTH TER",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122034216",
            "telephone_number": "518-878-8409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 EMMA LN",
            "city": "CLIFTON PARK",
            "state": "NY",
            "postal_code": "120653763",
            "telephone_number": "518-371-2200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASTRIANNI",
        "first_name": "DANIELLE",
        "middle_name": "ELIZABETH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-31",
        "last_updated": "2019-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clifton Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.