Individual provider Active NPI

Joann B Distasi, OTR

  • Hand Occupational Therapist
  • Carle Place, NY
National Provider Identifier
1831201300
Registry record updated Apr 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hand Occupational TherapistTaxonomy code 225XH1200X
License
004332-1 Issued in NY
Practice address
346 Westbury Ave
Carle Place, NY 11514-1654
Phone
(516) 333-1481
Fax
(516) 333-0549
NPI assigned
Aug 31, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hand Occupational Therapist 225XH1200X 004332-1 NY Primary

Addresses

Primary practice location

346 Westbury Ave
Carle Place, NY 11514-1654

Mailing address

346 Westbury Ave
Carle Place, NY 11514-1654
Phone (516) 333-1481

Other identifiers 1

IdentifierTypeStateIssuer
0453920001OtherNYNHIC GROUP #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050512000271 NY Practitioner - Occupational Therapist in Private Practice 8820038508 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
New York University School of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orthopaedic and Neurosurgery Specialists, PLLCGroup PAC ID 5294628947, 255 clinicians

Practice addresses (Care Compare)

500 Mamaroneck Ave
Harrison, NY 10528-1633
Phone (203) 869-1145

Merit-based Incentive Payment System (MIPS)

Final score
84.22 of 100Reported as group
Quality
82.55
Promoting interoperability
100
Improvement activities
40
Cost
64.86

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
004332-1NYMDHand Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopaedic & Neurosurgery Specialists, PLLC Hand CurrentSince May 1, 2021 Accepting new patients
Hand in Hand Rehabilitation, OT, PC CurrentSince Oct 4, 2004 Accepting new patients
Orthopaedic & Neurosurgery Specialists, PLLC CurrentSince May 1, 2021 Accepting new patients
Hand in Hand Rehabilitation, OT, PC Hand CurrentSince Oct 4, 2004 Accepting new patients

Locations

245 Westbury Ave
Carle Place, NY 11514
Phone (516) 333-1481

346 Westbury Ave
Carle Place, NY 11514
Phone (516) 333-1481

600 Northern Blvd
Ste 300
Great Neck, NY 11021
Phone (516) 627-8717

500 Mamaroneck Ave
Harrison, NY 10528
Phone (203) 869-1145

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1271289600000",
    "number": "1831201300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "346 WESTBURY AVE",
            "city": "CARLE PLACE",
            "state": "NY",
            "postal_code": "115141654",
            "telephone_number": "516-333-1481",
            "fax_number": "516-333-0549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "346 WESTBURY AVE",
            "city": "CARLE PLACE",
            "state": "NY",
            "postal_code": "115141654",
            "telephone_number": "516-333-1481",
            "fax_number": "516-333-0549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DISTASI",
        "first_name": "JOANN",
        "middle_name": "B",
        "name_prefix": "Mrs.",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2010-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "NY",
            "license": "004332-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NHIC GROUP #",
            "identifier": "0453920001",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Carle Place, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2010; 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.

Verify at the official NPI Registry.