Individual provider Active NPI

Katherine Delanty

  • Occupational Therapist
  • Smithtown, NY
National Provider Identifier
1679245609
Registry record updated Sep 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
026013-01 Issued in NY
Practice address
33 South Ave
Smithtown, NY 11787-3843
Phone
(631) 796-4381
NPI assigned
Sep 28, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 28, 2021

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 026013-01 NY Primary

Addresses

Primary practice location

33 South Ave
Smithtown, NY 11787-3843

Mailing address

33 South Ave
Smithtown, NY 11787-3843
Phone (631) 796-4381

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, MA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20211012001061 NY Practitioner - Occupational Therapist in Private Practice 7214335850 Reassigns benefits to 1 organization
I20230629001074 MA Practitioner - Occupational Therapist in Private Practice 7214335850 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
State University of New York at Stony Brook, School of Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Proex Physical Therapy LLCGroup PAC ID 0345212395, 166 clinicians

Practice addresses (Care Compare)

84 Highland Ave
Suite 201
Salem, MA 01970-2736
Phone (978) 741-0880

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
026013NYMDClinical Psychologist
026013-01NYMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Proex Physical Therapy, LLC Occupational Therapist CurrentSince May 21, 2023 Accepting new patients
Professional Occupational & Physical Therapy, PLLC Occupational Therapist Current Accepting new patients
Proex Physical Therapy, LLC Occupational Therapist CurrentSince May 21, 2023 Accepting new patients
Professional Occupational & Physical Therapy, PLLC Occupational Therapist CurrentSince Oct 4, 2021 Accepting new patients
Professional Occupational & Physical Therapy, PLLC Occupational Therapist CurrentSince Oct 4, 2021 Accepting new patients

Locations

10 High St
Ste 303
Boston, MA 02110
Phone (617) 542-6999

1300 Soldiers Field Rd
Boston, MA 02135
Phone (857) 240-0931

19 Needham St
Ste 201
Newton, MA 02461
Phone (617) 213-1350

84 Highland Ave
Ste 201
Salem, MA 01970
Phone (978) 741-0880

123 Grove Ave
Cedarhurst, NY 11516
Phone (516) 374-4248

6 Technology Dr
Ste 100A
East Setauket, NY 11733
Phone (631) 331-3608

576 Broadhollow Rd
Melville, NY 11747

2142 Utopia Pkwy
Whitestone, NY 11357
Phone (718) 767-0610

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1632787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632787200000",
    "number": "1679245609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 SOUTH AVE",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117873843",
            "telephone_number": "631-796-4381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 SOUTH AVE",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117873843",
            "telephone_number": "631-796-4381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELANTY",
        "first_name": "KATHERINE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-28",
        "last_updated": "2021-09-28",
        "certification_date": "2021-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "026013-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Smithtown, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2021; 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.