Active NPI
Nicole Bateman
- Occupational Therapist
- Blue Point, NY
National Provider Identifier
1841703923
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- P08721
- Practice address
- 65 Middle Rd
Blue Point, NY 11715-1918 - Phone
- (631) 294-3779
- NPI assigned
- Nov 10, 2017
- Last updated
- Feb 26, 2026
- Sex
- Female
- Sole proprietor
- Yes
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 | P08721 | NY | Primary |
Addresses
Primary practice location
65 Middle Rd
Blue Point, NY 11715-1918
Mailing address
65 Bayview Ave
Bayport, NY 11705-2109
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P08721 | NY | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1510272000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1772064000000",
"number": "1841703923",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "65 BAYVIEW AVE",
"city": "BAYPORT",
"state": "NY",
"postal_code": "117052109"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "65 MIDDLE RD",
"city": "BLUE POINT",
"state": "NY",
"postal_code": "117151918",
"telephone_number": "631-294-3779"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BATEMAN",
"first_name": "NICOLE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-11-10",
"last_updated": "2026-02-26",
"certification_date": "2026-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NY",
"license": "P08721",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Blue Point, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.