Active NPI
Sally Yu
- Occupational Therapist
- Melville, NY
National Provider Identifier
1831806785
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 030381
- Practice address
- 225 Broadhollow Rd Ste 402
Melville, NY 11747-4899 - Phone
- (631) 385-7780
- NPI assigned
- Oct 31, 2022
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 010016 | NY | |
| Occupational Therapist | 225X00000X | 030381 | NY | Primary |
Addresses
Primary practice location
225 Broadhollow Rd Ste 402
Melville, NY 11747-4899
Mailing address
1 Jacobus PL Apt A2
Bronx, NY 10463-6515
Phone (917) 365-6957
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2025
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
171 Kings Hwy
Brooklyn, NY 11223
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 010016 | NY | MD | Medical Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1667174400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1756339200000",
"number": "1831806785",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 JACOBUS PL APT A2",
"city": "BRONX",
"state": "NY",
"postal_code": "104636515",
"telephone_number": "917-365-6957"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "225 BROADHOLLOW RD STE 402",
"city": "MELVILLE",
"state": "NY",
"postal_code": "117474899",
"telephone_number": "631-385-7780"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YU",
"first_name": "SALLY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-10-31",
"last_updated": "2025-08-28",
"certification_date": "2025-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "NY",
"license": "010016",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NY",
"license": "030381",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Melville, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.