Grace Dwyer-Mauro, OTR/L

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

00578-1 Issued in NY

Practice address

2 Normandy Dr
Northport, NY 11768-3235

Phone

(631) 896-3613

NPI assigned

Sep 19, 2016

Last updated

Sep 19, 2016By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1474243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474243200000",
    "number": "1700334836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 NORMANDY DR",
            "city": "NORTHPORT",
            "state": "NY",
            "postal_code": "117683235",
            "telephone_number": "631-896-3613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 NORMANDY DR",
            "city": "NORTHPORT",
            "state": "NY",
            "postal_code": "117683235",
            "telephone_number": "631-896-3613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DWYER-MAURO",
        "first_name": "GRACE",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-09-19",
        "last_updated": "2016-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "005748-1",
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NY",
            "license": "00578-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Helen Gibney Dubinsky, APRN,BC
• Mary Anne Dumas, PHD, RN, CFNP, FAANP
• Delia Rayne Duran
• Marie T Duryea, M.S.
• Suresh C Dwivedi, MD
• Leatrice Kiichelle Dyer, LPN
• Eating Disorder Treatment of New York, LLC (Clementine North Shore)
• Eatons Neck Fire District
• Bruce James Edington, LCSW-R
• Alex Egglinger

• Pediatric Occupational Therapist in Northport, NY
• Providers in Northport, NY by specialty
• Pediatric Occupational Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2016; 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.