Active NPI
Davita Angelina Nemorin, OTR/L
- Occupational Therapist
- Elmont, NY
National Provider Identifier
1841834504
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 024104
- Practice address
- 165 Sussex Rd
Elmont, NY 11003-2034 - Phone
- (516) 439-0304
- NPI assigned
- Nov 5, 2019
- 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 | 024104 | NY | Primary |
Addresses
Primary practice location
165 Sussex Rd
Elmont, NY 11003-2034
Mailing address
165 Sussex Rd
Elmont, NY 11003-2034
Phone (516) 439-0304
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | ThrivelyOT@gmail.com |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 024105 | NY | MD | Forensic Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1572912000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1572912000000",
"number": "1841834504",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "165 SUSSEX RD",
"city": "ELMONT",
"state": "NY",
"postal_code": "110032034",
"telephone_number": "516-439-0304"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "165 SUSSEX RD",
"city": "ELMONT",
"state": "NY",
"postal_code": "110032034",
"telephone_number": "516-439-0304"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEMORIN",
"first_name": "DAVITA",
"middle_name": "ANGELINA",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-11-05",
"last_updated": "2019-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NY",
"license": "024104",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "ThrivelyOT@gmail.com",
"affiliation": "N",
"address_1": "165 Sussex Rd",
"city": "Elmont",
"state": "NY",
"country_code": "US",
"postal_code": "110032034",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Elmont, NY
- National Vision Inc (America's Best Contacts & Eyeglasses)
- Naturally Speaking Inc.
- Naturally Speaking Inc.
- Michelle Negron
- Alisha Nelson
- Nephrology&Hypertension Consultants of Long Island&Queens
- Nicole Nerette, LPN
- New York Sleep Diagnostic Center
- Next Path NP in Family Health, PLLC
- Quentin Chaquan Nichols
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.