NPIMap

Organization Active NPI

Ny PT and OT PLLC

  • Occupational Therapist
  • Franklin Square, NY
National Provider Identifier
1689339160
Registry record updated Nov 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Legal business name
NY PT AND OT PLLC
Practice address
820 Hempstead Tpke
Franklin Square, NY 11010-4339
Phone
(631) 864-6008
NPI assigned
Nov 1, 2021
Last updated
Nov 1, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2021

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

Authorized official

Name
Mark DiazNPI 1609857853
Title
Owner
Phone
(631) 864-6008

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225X00000X Primary

Addresses

Primary practice location

820 Hempstead Tpke
Franklin Square, NY 11010-4339

Mailing address

820 Hempstead Tpke
Franklin Square, NY 11010-4339
Phone (631) 864-6008

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL CREDENTIALING@LINCOLNRS.COM Direct

National Provider Directory

National Provider Directory

Locations

820 Hempstead Tpke
Lowr
Franklin Square, NY 11010
Phone (516) 233-2964

820 Hempstead Tpke
Uppr
Franklin Square, NY 11010
Phone (516) 358-8911

1041 W Jericho Tpke
Smithtown, NY 11787
Phone (631) 864-6008

153 E Merrick Rd
Valley Stream, NY 11580
Phone (516) 400-9003

Practitioners & affiliated clinicians

Practitioners 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1635724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635724800000",
    "number": "1689339160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 HEMPSTEAD TPKE",
            "city": "FRANKLIN SQUARE",
            "state": "NY",
            "postal_code": "110104339",
            "telephone_number": "631-864-6008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 HEMPSTEAD TPKE",
            "city": "FRANKLIN SQUARE",
            "state": "NY",
            "postal_code": "110104339",
            "telephone_number": "631-864-6008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NY PT AND OT PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-01",
        "last_updated": "2021-11-01",
        "certification_date": "2021-11-01",
        "status": "A",
        "authorized_official_last_name": "DIAZ",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-864-6008"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "CREDENTIALING@LINCOLNRS.COM",
            "affiliation": "N",
            "endpointDescription": "EMAIL",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "820 Hempstead Tpke",
            "city": "Franklin Square",
            "state": "NY",
            "country_code": "US",
            "postal_code": "110104339",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Franklin Square, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 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.