Gabriella Bottalico

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Practice address

17 Thornycroft Ave
Staten Island, NY 10312-6520

Phone

(347) 907-3342

NPI assigned

Nov 21, 2019

Sex

Female

Sole proprietor

Yes

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)

Enrolled

State licenses

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

{
    "created_epoch": "1574294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574294400000",
    "number": "1790321024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 THORNYCROFT AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103126520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 THORNYCROFT AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103126520",
            "telephone_number": "347-907-3342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOTTALICO",
        "first_name": "GABRIELLA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-11-21",
        "last_updated": "2019-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Evelyn Boss, P.A.
• Janice Lynne Anne Bossert-McSwiggan, FNP
• Laura Ann Bossert, MSSPED
• Fiana Gabriella Botkhin
• Fayez Botros
• Yasmin Rose Botte, LMHC
• Julia Marie Bottiglieri
• Elie Bou Sanayeh, M.D.
• Victoria Boucard, OTR/L
• Lisa Boule', CPNP

• Occupational Therapist in Staten Island, NY
• Providers in Staten Island, 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 Nov 21, 2019; 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.