Organization Active NPI

Venetian Occupational Therapy PLCC

  • Early Intervention Provider Agency
  • West Islip, NY
National Provider Identifier
1851620173
Registry record updated Dec 15, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
License
009547-1 Issued in NY
Legal business name
VENETIAN OCCUPATIONAL THERAPY PLCC
Practice address
1406 Washington Ave
West Islip, NY 11795-1628
Phone
(631) 932-0268
NPI assigned
Dec 15, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2009

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

Authorized official

Name
Mrs. Allison Brown, OTR/L
Title
Otr/L
Phone
(631) 932-0268

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X 009547-1 NY Primary

Addresses

Primary practice location

1406 Washington Ave
West Islip, NY 11795-1628

Mailing address

1406 Washington Ave
West Islip, NY 11795-1628
Phone (631) 932-0268

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1260835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260835200000",
    "number": "1851620173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1406 WASHINGTON AVE",
            "city": "WEST ISLIP",
            "state": "NY",
            "postal_code": "117951628",
            "telephone_number": "631-932-0268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1406 WASHINGTON AVE",
            "city": "WEST ISLIP",
            "state": "NY",
            "postal_code": "117951628",
            "telephone_number": "631-932-0268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VENETIAN OCCUPATIONAL THERAPY PLCC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-15",
        "last_updated": "2009-12-15",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "ALLISON",
        "authorized_official_title_or_position": "OTR/L",
        "authorized_official_telephone_number": "631-932-0268",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NY",
            "license": "009547-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Islip, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2009; 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.