Individual provider Active NPI

Deepa Unnikrishnan Thampy, OTR/L

  • Occupational Therapist
  • Dix Hills, NY
National Provider Identifier
1790059285
Registry record updated Feb 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
012003-1 Issued in NY
Practice address
30 Deforest Rd
Dix Hills, NY 11746-4808
Phone
(631) 592-3550
NPI assigned
Feb 29, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 29, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 012003-1 NY Primary

Addresses

Primary practice location

30 Deforest Rd
Dix Hills, NY 11746-4808

Mailing address

2 McCulloch Dr
Dix Hills, NY 11746-8304
Phone (631) 623-6794

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

LicenseStateTypeSpecialty
012003-1NYMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1330473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330473600000",
    "number": "1790059285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 MCCULLOCH DR",
            "city": "DIX HILLS",
            "state": "NY",
            "postal_code": "117468304",
            "telephone_number": "631-623-6794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 DEFOREST RD",
            "city": "DIX HILLS",
            "state": "NY",
            "postal_code": "117464808",
            "telephone_number": "631-592-3550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THAMPY",
        "first_name": "DEEPA",
        "middle_name": "UNNIKRISHNAN",
        "name_prefix": "Mrs.",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-02-29",
        "last_updated": "2012-02-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "012003-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dix Hills, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 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.