Individual provider Active NPI

Laurie Ann Massey-Destefano, OTR/L

  • Physical Rehabilitation Occupational Therapist
  • New Rochelle, NY
National Provider Identifier
1932354842
Registry record updated Nov 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Rehabilitation Occupational TherapistTaxonomy code 225XP0019X
License
007620-1 Issued in NY
Practice address
20 Cedar St
New Rochelle, NY 10801
Phone
(914) 576-5292
Fax
(914) 576-3983
NPI assigned
Nov 19, 2008
Last updated
Nov 13, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 13, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Rehabilitation Occupational Therapist 225XP0019X 007620-1 NY Primary

Addresses

Primary practice location

20 Cedar St
New Rochelle, NY 10801

Mailing address

20 Cedar St
New Rochelle, NY 10801-5247
Phone (914) 576-5292

Other names 1

  • Laurie Ann Massey-Destefano Professional name

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

LicenseStateTypeSpecialty
007620-1NYMDPhysical Rehabilitation Occupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1227052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762992000000",
    "number": "1932354842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 CEDAR ST",
            "city": "NEW ROCHELLE",
            "state": "NY",
            "postal_code": "108015247",
            "telephone_number": "914-576-5292",
            "fax_number": "914-576-3983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 CEDAR ST",
            "city": "NEW ROCHELLE",
            "state": "NY",
            "postal_code": "10801",
            "telephone_number": "914-576-5292",
            "fax_number": "914-576-3983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASSEY-DESTEFANO",
        "first_name": "LAURIE",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-11-19",
        "last_updated": "2025-11-13",
        "certification_date": "2025-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0019X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Physical Rehabilitation",
            "state": "NY",
            "license": "007620-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAURIE",
            "last_name": "MASSEY-DESTEFANO",
            "middle_name": "ANN",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in New Rochelle, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2025; 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.