Brian Cimmino, MS OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

0188201 Issued in NY

Practice address

1121 Keeler Ave
Mamaroneck, NY 10543-2938

Phone

(914) 552-6129

NPI assigned

Mar 23, 2015

Last updated

Mar 23, 2015By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1427068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427068800000",
    "number": "1770977357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1121 KEELER AVE",
            "city": "MAMARONECK",
            "state": "NY",
            "postal_code": "105432938",
            "telephone_number": "914-552-6129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1121 KEELER AVE",
            "city": "MAMARONECK",
            "state": "NY",
            "postal_code": "105432938",
            "telephone_number": "914-552-6129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CIMMINO",
        "first_name": "BRIAN",
        "name_prefix": "Mr.",
        "credential": "MS OTR/L",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-03-23",
        "last_updated": "2015-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "0188201",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "115784",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MA",
            "license": "11111",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CT",
            "license": "003745",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura S Chess, M.ED. OTR/L
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• City Medical of Upper East Side, PLLC (CityMD)
• Imani S Clarke
• Nicole Natasha Clarke
• CMD Psychological Services PLLC
• Karen Cofino, RN

• Occupational Therapist in Mamaroneck, NY
• Providers in Mamaroneck, 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 Mar 23, 2015; 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.