Active NPI
Gabrielle Eva Velazquez
- Occupational Therapist
- Northport, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 030669-01
- Practice address
- 1014 Fort Salonga Rd Ste 4
Northport, NY 11768-2273 - Phone
- (631) 837-2328
- NPI assigned
- Nov 8, 2025
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 030669-01 | NY | Primary |
Addresses
Primary practice location
1014 Fort Salonga Rd Ste 4
Northport, NY 11768-2273
Mailing address
4 Barone Dr
Coram, NY 11727-3083
Phone (631) 732-5978
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2025
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1014 Fort Salonga Rd
Suite 4
Northport, NY 11768-2273
Phone (631) 651-7300
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 030669-01 | NY | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Professional Occupational & Physical Therapy, PLLC | Occupational Therapist | Current | Accepting new patients |
| Professional Occupational & Physical Therapy, PLLC | Occupational Therapist | Current | Accepting new patients |
Locations
123 Grove Ave
Cedarhurst, NY 11516
Phone (516) 374-4248
576 Broadhollow Rd
Melville, NY 11747
1014 Fort Salonga Rd
Ste 4
Northport, NY 11768
Phone (631) 651-7300
2142 Utopia Pkwy
Whitestone, NY 11357
Phone (718) 767-0610
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Occupational Therapist
- Rockville Centre, NY
- NPI 1205296902
-
- Physical Therapist
- Riverhead, NY
- NPI 1215398250
Occupational Therapist
-
- Occupational Therapist
- Randolph, NJ
- NPI 1104376680
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1762560000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1762560000000",
"number": "1801766407",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4 BARONE DR",
"city": "CORAM",
"state": "NY",
"postal_code": "117273083",
"telephone_number": "631-732-5978"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1014 FORT SALONGA RD STE 4",
"city": "NORTHPORT",
"state": "NY",
"postal_code": "117682273",
"telephone_number": "631-837-2328"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VELAZQUEZ",
"first_name": "GABRIELLE",
"middle_name": "EVA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-11-08",
"last_updated": "2025-11-08",
"certification_date": "2025-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NY",
"license": "030669-01",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Northport, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.