Danielle Da Costa, OTR/L
Individual provider Active NPI Occupational Therapist · Centereach, NY
NPI 1790920106 · NPPES record last updated Dec 14, 2008
Key facts
- NPI
- 1790920106
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- 011765 (NY)
- Practice address
- 3 Countywide LN
Centereach, NY 11720-1939 - Phone
- (631) 775-6424
- NPI assigned
- Dec 14, 2008
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 011765 | NY | MD | Occupational Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 011765 | NY | Yes |
Addresses
Primary practice location
3 Countywide LN
Centereach, NY 11720-1939
Mailing address
3 Countywide LN
Centereach, NY 11720-1939
Phone (631) 775-6424
Other providers in Centereach, NY
- Vickie L Crafton
- Patrick Cronin
- CVS Albany LLC
- Richard D'Amelia
- Kerrie D'Angelone
- Kenneth Dao
- Caitlyn Davis
- Marianna Dayre
- Lori Oneika Dean
- Janet Ann Deangelis
All providers in Centereach, NY · Occupational Therapist in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 14, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.