Ellyn Gately, OT, PLLC
Organization Active NPI Occupational Therapist · Wading River, NY
NPI 1679016505 · NPPES record last updated Dec 8, 2016
Key facts
- NPI
- 1679016505
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Occupational Therapist 225X00000X
- Legal business name
- ELLYN GATELY, OT, PLLC
- Practice address
- 5 Salem CT
Wading River, NY 11792-2322 - Phone
- (631) 965-8992
- NPI assigned
- Nov 25, 2016
- Organization subpart
- No
Authorized official
- Name
- Ellyn C Gately
- Title
- Occupational Therapist
- Phone
- (631) 965-8992
Practitioners 1
-
Ellyn Christen Gately, OTR/L
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20170105001176 | NY | Part B Supplier - Clinic/Group Practice | 2860773827 |
Receives reassigned benefits from 1 practitioner Practice locations: Wading River, NY |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist |
225X00000X | Yes |
Addresses
Primary practice location
5 Salem CT
Wading River, NY 11792-2322
Mailing address
5 Salem CT
Wading River, NY 11792-2322
Phone (631) 965-8992
Other providers in Wading River, NY
- Donald Doherty
- Evette M Downey
- Ryan J Doyle
- Linda C Duruan
- Karina Susanne Ellis
- Donna M Erickson
- Kyle Raymond Eskridge
- Debbie Lou Falborn
- Family Care Medical Center
- Christopher F Favazza
All providers in Wading River, NY · Occupational Therapist in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 8, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.