Lifelong Therapeutics OT PLLC

Primary specialty

Physical Rehabilitation Occupational TherapistTaxonomy code 225XP0019X

License

006369 Issued in NY

Legal business name

LIFELONG THERAPEUTICS OT PLLC

Practice address

165 Beverly Rd
Huntington Station, NY 11746-4522

Phone

(631) 278-0665

Fax

(631) 549-1957

NPI assigned

Nov 28, 2011

Last updated

Feb 21, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Jeffrey Wayne Ciolino, OTR/LNPI 1144247222

Title

President

Phone

(631) 278-0665

Specialties & licenses 1

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jeffrey W Ciolino, OT

  • Physical Therapist
  • Norwood, MA
  • NPI 1144247222
  Authorized official Same address or phone
• Danielle Ramsden, M.D.

  • Internal Medicine Physician
  • Greenwich, CT
  • NPI 1952562282
  NPD
• Nicolle A Bergin

  • Adult Health Nurse Practitioner
  • North Babylon, NY
  • NPI 1093377954
  NPD (past)

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

{
    "created_epoch": "1322438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329782400000",
    "number": "1770850281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "143 CHARDONNAY DR",
            "city": "EAST QUOGUE",
            "state": "NY",
            "postal_code": "119423829",
            "telephone_number": "631-278-0665",
            "fax_number": "631-549-1957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "165 BEVERLY RD",
            "city": "HUNTINGTON STATION",
            "state": "NY",
            "postal_code": "117464522",
            "telephone_number": "631-278-0665",
            "fax_number": "631-549-1957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFELONG THERAPEUTICS OT PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-28",
        "last_updated": "2012-02-21",
        "status": "A",
        "authorized_official_last_name": "CIOLINO",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "631-278-0665",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "225XP0019X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Physical Rehabilitation",
            "state": "NY",
            "license": "006369",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Rehabilitation Occupational Therapist in Huntington Station, NY
• Providers in Huntington Station, NY by specialty
• Physical Rehabilitation Occupational Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2012; 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.