Active NPI
Kathleen Sottilo
- Occupational Therapist
- Miller Place, NY
National Provider Identifier
1902210321
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 006421-1
- Practice address
- 4 Tree Rd
Miller Place, NY 11764-2234 - Phone
- (631) 445-5473
- NPI assigned
- Jun 13, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 006421-1 | NY | Primary |
| Pediatric Occupational Therapist | 225XP0200X | 006421-1 | NY |
Addresses
Primary practice location
4 Tree Rd
Miller Place, NY 11764-2234
Mailing address
4 Tree Rd
Miller Place, NY 11764-2234
Phone (631) 445-5473
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 |
|---|---|---|---|
| 006421-1 | NY | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1402617600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1484784000000",
"number": "1902210321",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4 TREE RD",
"city": "MILLER PLACE",
"state": "NY",
"postal_code": "117642234",
"telephone_number": "631-445-5473"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4 TREE RD",
"city": "MILLER PLACE",
"state": "NY",
"postal_code": "117642234",
"telephone_number": "631-445-5473"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOTTILO",
"first_name": "KATHLEEN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-06-13",
"last_updated": "2017-01-19",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NY",
"license": "006421-1",
"primary": true
},
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "NY",
"license": "006421-1",
"primary": false
}
],
"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 Jan 19, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.