Active NPI
Athena Vaccaro, M.S., P.T
- Pediatric Physical Therapist
- Sea Cliff, NY
National Provider Identifier
1801265491
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Physical Therapist
- License
- 012818-1
- Practice address
- 431 Carpenter Ave
Sea Cliff, NY 11579-2102 - Phone
- (646) 872-3287
- NPI assigned
- Sep 24, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Physical Therapist | 2251P0200X | 012818-1 | NY | Primary |
Addresses
Primary practice location
431 Carpenter Ave
Sea Cliff, NY 11579-2102
Mailing address
431 Carpenter Ave
Sea Cliff, NY 11579-2102
Phone (646) 872-3287
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 012818-1 | NY | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1443052800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1443052800000",
"number": "1801265491",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "431 CARPENTER AVE",
"city": "SEA CLIFF",
"state": "NY",
"postal_code": "115792102",
"telephone_number": "646-872-3287"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "431 CARPENTER AVE",
"city": "SEA CLIFF",
"state": "NY",
"postal_code": "115792102",
"telephone_number": "646-872-3287"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VACCARO",
"first_name": "ATHENA",
"name_prefix": "Mrs.",
"credential": "M.S., P.T",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-09-24",
"last_updated": "2015-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "2251P0200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Pediatrics",
"state": "NY",
"license": "012818-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sea Cliff, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 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.