Mary Ellen Elizabeth Acosta, O.T.

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

006720-1 Issued in NY

Practice address

46 Teakettle Spout Rd
Mahopac, NY 10541-4237

Phone

(191) 794-1037

NPI assigned

Oct 29, 2010

Sex

Female

Sole proprietor

Yes

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, last updated by the provider on Oct 29, 2010.

{
    "created_epoch": "1288310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288310400000",
    "number": "1881994341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46 TEAKETTLE SPOUT RD",
            "city": "MAHOPAC",
            "state": "NY",
            "postal_code": "105414237",
            "telephone_number": "191-794-1037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46 TEAKETTLE SPOUT RD",
            "city": "MAHOPAC",
            "state": "NY",
            "postal_code": "105414237",
            "telephone_number": "191-794-1037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ACOSTA",
        "first_name": "MARY ELLEN",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "O.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-10-29",
        "last_updated": "2010-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NY",
            "license": "006720-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Huma Abbasi, OTR/L
• Ace Ambulette Service Corp.
• Acosta and Raider LLC
• Delaney M Acosta, DDS
• Carol Adelman
• Affiliated Home Care of Putnam, Inc.
• Olivia Agins
• Alan N Berman
• Lauren Amendola

• All providers in Mahopac, NY
• Pediatric Occupational Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2010; 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.