Individual provider Active NPI

Krysta Rose Sollecito, OTD, OTR/L

  • Occupational Therapist
  • New Hyde Park, NY
National Provider Identifier
1689453680
Registry record updated Sep 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
028428 Issued in NY
Practice address
1637 Hillside CT
New Hyde Park, NY 11040-2609
Phone
(516) 402-1359
NPI assigned
Sep 27, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2023

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 028428 NY Primary

Addresses

Primary practice location

1637 Hillside CT
New Hyde Park, NY 11040-2609

Mailing address

1637 Hillside CT
New Hyde Park, NY 11040-2609
Phone (516) 402-1359

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
028428NYMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1695772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695772800000",
    "number": "1689453680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1637 HILLSIDE CT",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110402609",
            "telephone_number": "516-402-1359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1637 HILLSIDE CT",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110402609",
            "telephone_number": "516-402-1359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOLLECITO",
        "first_name": "KRYSTA",
        "middle_name": "ROSE",
        "credential": "OTD, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-27",
        "last_updated": "2023-09-27",
        "certification_date": "2023-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "028428",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Hyde Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2023; 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.