Individual provider Active NPI

Melvin Adrian Panameno, COTA

  • Occupational Therapy Assistant
  • Rye, NY
National Provider Identifier
1699544643
Registry record updated Jan 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
010358-01 Issued in NY
Practice address
150 Purchase St Ste 9
Rye, NY 10580-2143
Phone
(914) 921-2600
NPI assigned
Jan 1, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 1, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 010358-01 NY Primary

Addresses

Primary practice location

150 Purchase St Ste 9
Rye, NY 10580-2143

Mailing address

10233 Jamaica Ave
Richmond Hill, NY 11418-2010
Phone (718) 673-7999

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
010358-01NYMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Rye Therapies of OT, PT & SLP, PLLC CurrentSince Jan 7, 2024 Accepting new patients

Locations

150 Purchase St
Ste 9
Rye, NY 10580
Phone (914) 921-0333

Organizations & group practices 1

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": "1704067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704067200000",
    "number": "1699544643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10233 JAMAICA AVE",
            "city": "RICHMOND HILL",
            "state": "NY",
            "postal_code": "114182010",
            "telephone_number": "718-673-7999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 PURCHASE ST STE 9",
            "city": "RYE",
            "state": "NY",
            "postal_code": "105802143",
            "telephone_number": "914-921-2600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANAMENO",
        "first_name": "MELVIN",
        "middle_name": "ADRIAN",
        "credential": "COTA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-01-01",
        "last_updated": "2024-01-01",
        "certification_date": "2023-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "NY",
            "license": "010358-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rye, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 1, 2024; 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.