Island Rehab PT OT PLLC

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

005711 Issued in NY

Legal business name

ISLAND REHAB PT OT PLLC

Practice address

242 Natick St
Staten Island, NY 10306-1626

Phone

(718) 354-0457

NPI assigned

Jul 21, 2016

Last updated

Jul 21, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Yvonne Tarzia Morano

Title

President

Phone

(718) 354-0457

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Douglas Marc Heigh, M.S.

  • Occupational Therapist
  • Staten Island, NY
  • NPI 1356888945
  Medicare reassignment Care Compare group NPD
• Dominick Napoletano, P.T

  • Physical Therapist
  • Brooklyn, NY
  • NPI 1801084298
  Medicare reassignment Care Compare group NPD
• Bless Magpantay, PT

  • Physical Therapist
  • Farmingdale, NJ
  • NPI 1255867958

  NY

  Medicare reassignment Care Compare group NPD
• Yvonne Tarzia Morano, OTR/L

  • Occupational Therapist
  • Staten Island, NY
  • NPI 1477784015
  Medicare reassignment Care Compare group
• Michael Leydeker, PT, DPT

  • Physical Therapist
  • Cherry Hill, NJ
  • NPI 1912398116

  NY

  Medicare reassignment NPD
• Rafael Shlomo Krakanovski, DPT

  • Physical Therapist
  • Valley Stream, NY
  • NPI 1275873531
  NPD
• Vyacheslav Glukh

  • Single Specialty Group
  • Staten Island, NY
  • NPI 1447689179
  NPD (past)

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

{
    "created_epoch": "1469059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1469059200000",
    "number": "1881047223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "242 NATICK ST",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103061626",
            "telephone_number": "718-354-0457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "242 NATICK ST",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103061626",
            "telephone_number": "718-354-0457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISLAND REHAB PT OT PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-21",
        "last_updated": "2016-07-21",
        "status": "A",
        "authorized_official_last_name": "MORANO",
        "authorized_official_first_name": "YVONNE",
        "authorized_official_middle_name": "TARZIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-354-0457"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "005711",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Island Nephrology Services, PC
• Island Nurse Practitioner in Family Health, PLLC
• Island Obstetrics and Gynecology
• Island Pediatrics, P.C.
• Island Professional Acupuncture PC
• Island Rehabilitative Services Corp
• Island Rehabilitative Services Corp.
• Island Reproductive Services, PC
• Island Sleep Solutions
• Island South Chiropractic PC

• Occupational Therapist in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Occupational Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.