Katie Shirley Capobianco, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

027311 Issued in NY

Practice address

97 Stratford Ave
Garden City, NY 11530-2532

Phone

(516) 478-1500

NPI assigned

Dec 14, 2022

Sex

Female

Sole proprietor

No

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1670976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670976000000",
    "number": "1750093456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 CHESTNUT ST",
            "city": "GLEN COVE",
            "state": "NY",
            "postal_code": "115421915",
            "telephone_number": "516-413-7220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "97 STRATFORD AVE",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115302532",
            "telephone_number": "516-478-1500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "170 Rockaway Ave",
            "address_purpose": "LOCATION",
            "city": "Garden City",
            "state": "NY",
            "postal_code": "115301430",
            "country_code": "US",
            "telephone_number": "516-478-2000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAPOBIANCO",
        "first_name": "KATIE",
        "middle_name": "SHIRLEY",
        "name_prefix": "Ms.",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-14",
        "last_updated": "2022-12-14",
        "certification_date": "2022-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "027311",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Geoffrey Canada Jr., LMSW
• Jessica Cangemi, MS, OTR/L
• Lauren Canner
• Tara Caparella, MS
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• James Dean Capozzi, M.D.
• Susanna Caputi, LMSW
• Krista Marie Carano, OTD, OTR/L
• Cristina Carbonaro
• Cardiovascular Medical Associates PC

• Occupational Therapist in Garden City, NY
• Providers in Garden City, NY by specialty
• Occupational Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2022; 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.