Mia Calabro, MS, OTR/L

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

Practice address

50 Timberline Dr
Brentwood, NY 11717-4803

Phone

(631) 434-2525

NPI assigned

Nov 17, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

Practice roles

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.

• Ddi

  • Case Management Agency
  • Ronkonkoma, NY
  • NPI 1437584562
  NPD (past)
• Developmental Disabilities Institute

  • Early Intervention Provider Agency
  • Ronkonkoma, NY
  • NPI 1215207162
  NPD (past)

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

{
    "created_epoch": "1637107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703980800000",
    "number": "1831856582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 TIMBERLINE DR",
            "city": "BRENTWOOD",
            "state": "NY",
            "postal_code": "117174803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 TIMBERLINE DR",
            "city": "BRENTWOOD",
            "state": "NY",
            "postal_code": "117174803",
            "telephone_number": "631-434-2525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALABRO",
        "first_name": "MIA",
        "credential": "MS, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-17",
        "last_updated": "2023-12-31",
        "certification_date": "2023-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mia.rienzo@ddiny.org",
            "affiliation": "N",
            "endpointDescription": "Work Email",
            "address_1": "90 Air Park Dr",
            "city": "Ronkonkoma",
            "state": "NY",
            "country_code": "US",
            "postal_code": "117797360",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Christine Cabrera, LPN
• Krystina Elisabeth Cabrera, RN, BSN
• Dennis Cacciatore
• Janela Caceres Germosen
• Katherine Caceres Germosen
• Lindsey Calderone, LMSW
• Francene A. Campbell, LCSW
• Ronald Campbell, RN
• Campos Optical, Inc.
• Angelina Melissa Candelario

• Pediatric Occupational Therapist in Brentwood, NY
• Providers in Brentwood, NY by specialty
• Pediatric Occupational Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.