Ann Marie Pittelli, OTR/L

Primary specialty

Gerontology Occupational TherapistTaxonomy code 225XG0600X

License

006788-1 Issued in NY

Practice address

2 Salem Ridge Dr
Huntington, NY 11743-3017

Phone

(631) 470-6055

NPI assigned

Feb 4, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Provident Physical and Occupational Therapy PLLC

  • Physical Therapist
  • East Northport, NY
  • NPI 1144742479
  NPD (past)

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

{
    "created_epoch": "1265241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609804800000",
    "number": "1679805444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 SALEM RIDGE DR",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117433017",
            "telephone_number": "631-470-6055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 SALEM RIDGE DR",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117433017",
            "telephone_number": "631-470-6055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PITTELLI",
        "first_name": "ANN MARIE",
        "name_prefix": "Mrs.",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-02-04",
        "last_updated": "2021-01-05",
        "certification_date": "2021-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0019X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Physical Rehabilitation",
            "state": "NY",
            "license": "006788-1",
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NY",
            "license": "006788-1",
            "primary": false
        },
        {
            "code": "225XG0600X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Gerontology",
            "state": "NY",
            "license": "006788-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Michael Pirtle, DO
• Lisa Frances Pisciotta
• Michael C Piscitelli
• Jacob Piskun, M.D.
• Matthew Augustus Pitre, DPM
• Amy Platt, PHD, LCSW
• Plaza Medical & Diagnostic, P.C.
• Jennifer Plunkett Skibins, LMSW
• Neil Pober, M.D.
• Marshall A Polan, DDS

• Gerontology Occupational Therapist in Huntington, NY
• Providers in Huntington, NY by specialty
• Gerontology Occupational Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2021; 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.