Active NPI
Michelle Elizabeth Ryan, OTR/L
- Occupational Therapist
- Amityville, NY
National Provider Identifier
1730498148
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 010025-1
- Practice address
- 65 Macdonald Ave
Amityville, NY 11701-3742 - Phone
- (631) 742-8787
- NPI assigned
- Oct 3, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 010025-1 | NY | Primary |
Addresses
Primary practice location
65 Macdonald Ave
Amityville, NY 11701-3742
Mailing address
65 Macdonald Ave
Amityville, NY 11701-3742
Phone (631) 742-8787
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
| License | State | Type | Specialty |
|---|---|---|---|
| 010025-1 | NY | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1286064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1286064000000",
"number": "1730498148",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "65 MACDONALD AVE",
"city": "AMITYVILLE",
"state": "NY",
"postal_code": "117013742",
"telephone_number": "631-742-8787"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "65 MACDONALD AVE",
"city": "AMITYVILLE",
"state": "NY",
"postal_code": "117013742",
"telephone_number": "631-742-8787"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RYAN",
"first_name": "MICHELLE",
"middle_name": "ELIZABETH",
"name_prefix": "Ms.",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-10-03",
"last_updated": "2010-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NY",
"license": "010025-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Amityville, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.