Active NPI
Michelle Lauren Passik, OTR/L
- Occupational Therapist
- Great Neck, NY
National Provider Identifier
1902677008
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 028611
- Practice address
- 25 Strathmore Rd
Great Neck, NY 11023-1035 - Phone
- (516) 500-8998
- NPI assigned
- Jan 9, 2024
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 028611 | NY | Primary |
Addresses
Primary practice location
25 Strathmore Rd
Great Neck, NY 11023-1035
Mailing address
25 Strathmore Rd
Great Neck, NY 11023-1035
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)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Achieve at Home Physical Therapy PLLC | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapist
- Great Neck, NY
- NPI 1932840188
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1704758400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704758400000",
"number": "1902677008",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25 STRATHMORE RD",
"city": "GREAT NECK",
"state": "NY",
"postal_code": "110231035"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25 STRATHMORE RD",
"city": "GREAT NECK",
"state": "NY",
"postal_code": "110231035",
"telephone_number": "516-500-8998"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PASSIK",
"first_name": "MICHELLE",
"middle_name": "LAUREN",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-01-09",
"last_updated": "2024-01-09",
"certification_date": "2024-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NY",
"license": "028611",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Great Neck, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.