Active NPI
Casey Xanthis
- Occupational Therapy Assistant
- Middletown, NY
National Provider Identifier
1891576583
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 011460
- Practice address
- 280 Route 211 E Ste 104-300
Middletown, NY 10940-3109 - Phone
- (845) 728-1623
- NPI assigned
- Oct 10, 2023
- Sex
- Female
- Sole proprietor
- No
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 Therapy Assistant | 224Z00000X | 011460 | NY | Primary |
Addresses
Primary practice location
280 Route 211 E Ste 104-300
Middletown, NY 10940-3109
Mailing address
76 St John St
Goshen, NY 10924-1536
Phone (845) 754-1454
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 011460 | NY | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1696896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1696982400000",
"number": "1891576583",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "76 ST JOHN ST",
"city": "GOSHEN",
"state": "NY",
"postal_code": "109241536",
"telephone_number": "845-754-1454"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "280 ROUTE 211 E STE 104-300",
"city": "MIDDLETOWN",
"state": "NY",
"postal_code": "109403109",
"telephone_number": "845-728-1623"
}
],
"practiceLocations": [],
"basic": {
"last_name": "XANTHIS",
"first_name": "CASEY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-10-10",
"last_updated": "2023-10-11",
"certification_date": "2023-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "NY",
"license": "011460",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Middletown, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.