Individual provider Active NPI

Carissa Aurellano, OTR

  • Occupational Therapist
  • New City, NY
National Provider Identifier
1831601475
Registry record updated Nov 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
0219211 Issued in NY
Practice address
873 Rte 45 Ste 102
New City, NY 10956
Phone
(845) 354-7779
Fax
(845) 354-7780
NPI assigned
Nov 3, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 0219211 NY Primary

Addresses

Primary practice location

873 Rte 45 Ste 102
New City, NY 10956

Mailing address

873 Route 45 Ste 102
New City, NY 10956-1123
Phone (845) 354-7779

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171207000086 NY Practitioner - Occupational Therapist in Private Practice 4981961554 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0219211NYMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Rockland Recovery Physical Therapy, PLLC Occupational Therapist CurrentSince Nov 1, 2017 Accepting new patients

Locations

873 Route 45
Ste 102
New City, NY 10956
Phone (845) 354-7779

3296 Palisades Center Dr
West Nyack, NY 10994
Phone (845) 213-2064

Organizations & group practices 1

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": "1509667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1509667200000",
    "number": "1831601475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "873 ROUTE 45 STE 102",
            "city": "NEW CITY",
            "state": "NY",
            "postal_code": "109561123",
            "telephone_number": "845-354-7779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "873 RTE 45 STE 102",
            "city": "NEW CITY",
            "state": "NY",
            "postal_code": "10956",
            "telephone_number": "845-354-7779",
            "fax_number": "845-354-7780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AURELLANO",
        "first_name": "CARISSA",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-03",
        "last_updated": "2017-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "0219211",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New City, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.