Taylor Ann Prodromakis, C.O.T.A

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

008383-1 Issued in NY

Practice address

60 Seaview Ter
Northport, NY 11768-2928

Phone

(516) 662-7035

NPI assigned

May 21, 2015

Last updated

May 21, 2015By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Taylor Ann Donohue Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1432166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1432166400000",
    "number": "1881073930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 SEAVIEW TER",
            "city": "NORTHPORT",
            "state": "NY",
            "postal_code": "117682928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 SEAVIEW TER",
            "city": "NORTHPORT",
            "state": "NY",
            "postal_code": "117682928",
            "telephone_number": "516-662-7035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRODROMAKIS",
        "first_name": "TAYLOR",
        "middle_name": "ANN",
        "credential": "C.O.T.A",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-05-21",
        "last_updated": "2015-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "NY",
            "license": "008383-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TAYLOR",
            "last_name": "DONOHUE",
            "middle_name": "ANN",
            "prefix": "MRS.",
            "credential": "C.O.T.A",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Judith Ann Poveromo, SLP
• Peter Paul Powanda, PT
• Jessie Ryan Poznack
• Judy Privitello, PT,DPT
• Inken Maria Prochilo, COTA/L
• Professional Occupational & Physical Therapy, PLLC
• Progressive Medical Fitness PC
• Dallas Prusi, LMSW
• Psychiatric Nurse Practitioner Services PC
• Anthony Puliafico

• Occupational Therapy Assistant in Northport, NY
• Providers in Northport, NY by specialty
• Occupational Therapy Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2015; 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.