Mary Squillace, OT

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

License

0076971 Issued in NY

Practice address

710 Lincoln Blvd
Long Beach, NY 11561-2316

Phone

(516) 889-6939

Fax

(516) 889-6939

NPI assigned

Sep 13, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

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.

• Hand in Hand Rehabilitation, OT, PC

  • Durable Medical Equipment & Medical Supplies
  • Carle Place, NY
  • NPI 1184838021
  NPD (past)
• Hand in Hand Rehabilitation, OT, PC

  • Occupational Therapist
  • Carle Place, NY
  • NPI 1679681365
  NPD (past)

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

{
    "created_epoch": "1221264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1221264000000",
    "number": "1700035862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 LINCOLN BLVD",
            "city": "LONG BEACH",
            "state": "NY",
            "postal_code": "115612316",
            "telephone_number": "516-889-6939",
            "fax_number": "516-889-6939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 LINCOLN BLVD",
            "city": "LONG BEACH",
            "state": "NY",
            "postal_code": "115612316",
            "telephone_number": "516-889-6939",
            "fax_number": "516-889-6939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SQUILLACE",
        "first_name": "MARY",
        "credential": "OT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-09-13",
        "last_updated": "2008-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NY",
            "license": "0076971",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erin Rachel Spilberg, M.A. CCC-SLP
• Harlan B Spindler
• Melissa Anne Spinelli, OTR/L
• Jennifer Spitz, BCBA, LBA
• Marissa Squillace, M.A.
• Leonard I Stambler, MD
• Eva M Stanger, R PH
• Jeffrey Mark Stanger, D.C.
• Dov Statfeld, MD
• Cassandra Stegman

• Early Intervention Provider Agency in Long Beach, NY
• Providers in Long Beach, NY by specialty
• Early Intervention Provider Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2008; 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.