Organization Active NPI

Balanced OT Wellness, PLLC

  • Occupational Therapist
  • Miller Place, NY
National Provider Identifier
1891643938
Registry record updated Mar 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Legal business name
BALANCED OT WELLNESS, PLLC
Practice address
54 N Country Rd
Miller Place, NY 11764-1446
Phone
(516) 226-0367
NPI assigned
Mar 16, 2026
Last updated
Mar 16, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2026

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

Authorized official

Name
Tina-Marie Martirano, OTR/LNPI 1003955246
Title
Sole MBR
Phone
(631) 484-9687

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X Primary

Addresses

Primary practice location

54 N Country Rd
Miller Place, NY 11764-1446

Mailing address

43 Sherwood Dr
Shoreham, NY 11786-2053
Phone (631) 484-9687

National Provider Directory

National Provider Directory

Locations

54 N Country Rd
Miller Place, NY 11764
Phone (516) 226-0367

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1773619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773619200000",
    "number": "1891643938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43 SHERWOOD DR",
            "city": "SHOREHAM",
            "state": "NY",
            "postal_code": "117862053",
            "telephone_number": "631-484-9687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54 N COUNTRY RD",
            "city": "MILLER PLACE",
            "state": "NY",
            "postal_code": "117641446",
            "telephone_number": "516-226-0367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALANCED OT WELLNESS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-16",
        "last_updated": "2026-03-16",
        "certification_date": "2026-03-16",
        "status": "A",
        "authorized_official_last_name": "MARTIRANO",
        "authorized_official_first_name": "TINA-MARIE",
        "authorized_official_title_or_position": "SOLE MBR",
        "authorized_official_telephone_number": "631-484-9687",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miller Place, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2026; 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.