C.J. Allen OT Upper Extremity & Hand Therapy, PLLC

Primary specialty

Hand Occupational TherapistTaxonomy code 225XH1200X

License

011083 Issued in NY

Legal business name

C.J. ALLEN OT UPPER EXTREMITY & HAND THERAPY, PLLC

Doing business as

C.J. Allen OT CHT Upper Extremity & Hand Therapy, PLLC

Practice address

2108 Joshuas Path
Hauppauge, NY 11788-4764

Phone

(631) 761-6996

Fax

(631) 761-6997

NPI assigned

Jan 16, 2015

Organization subpart

No

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

Authorized official

Name

Mr. Charles Jack Allen, OTR/L, CHTNPI 1548216237

Title

Owner

Phone

(516) 779-6798

Specialties & licenses 2

Addresses

Other names 1

• C.J. Allen OT CHT Upper Extremity & Hand Therapy, PLLC Doing business as

Medicare fee-for-service enrollment

Enrolled in NY2 enrollments

Enrollment records 2

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• C.J. Allen OT Upper Extremity & Hand Therapy, PLLC

  • Customized Equipment (DME)
  • Smithtown, NY
  • NPI 1447955356

  O20150316002086

  Same enrollment

Practitioners 5

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.

• Charles J Allen, OTR/L,CHT

  • Occupational Therapist
  • Hauppauge, NY
  • NPI 1548216237
  Medicare reassignment Care Compare group NPD Authorized official
• Sarah Marie Exposito, OTR/L

  • Occupational Therapist
  • Hauppauge, NY
  • NPI 1104400969
  Medicare reassignment Care Compare group NPD
• Anthony Michael Kiriakos, OTR/L

  • Occupational Therapist
  • Massapequa, NY
  • NPI 1356982243
  Medicare reassignment Care Compare group NPD
• Olivia Myszkowski, OTR/L

  • Occupational Therapist
  • Smithtown, NY
  • NPI 1366912966
  Medicare reassignment Care Compare group
• Jared Christopher Vanbrunt, MS OTR/L

  • Occupational Therapist
  • Hauppauge, NY
  • NPI 1235730128
  NPD (past)

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

{
    "created_epoch": "1421366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709251200000",
    "number": "1942699749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 AMBER CT",
            "city": "HAUPPAUGE",
            "state": "NY",
            "postal_code": "117883107",
            "telephone_number": "631-761-6996",
            "fax_number": "631-761-6997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2108 JOSHUAS PATH",
            "city": "HAUPPAUGE",
            "state": "NY",
            "postal_code": "117884764",
            "telephone_number": "631-761-6996",
            "fax_number": "631-761-6997"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "290 E Main St Ste 400",
            "address_purpose": "LOCATION",
            "city": "Smithtown",
            "state": "NY",
            "postal_code": "117872916",
            "country_code": "US",
            "telephone_number": "631-675-5777",
            "fax_number": "631-761-6997",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "C.J. ALLEN OT UPPER EXTREMITY & HAND THERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-16",
        "last_updated": "2024-03-01",
        "certification_date": "2024-03-01",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "JACK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-779-6798",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "OTR/L, CHT"
    },
    "taxonomies": [
        {
            "code": "225XH1200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist, Hand",
            "state": "NY",
            "license": "011083",
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "C.J. Allen OT CHT Upper Extremity & Hand Therapy, PLLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "C.J. Allen OT CHT Upper Extremity & Hand Therapy, PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Cynthia Regina Byrne, PHYSICAL THERAPIST
• Kristen Byrne, OTR/L
• Mary Lisa Cahill
• Kayla Joan Calabrese
• Danielle Calandrino
• Marcelina Josephine Caldara, RN
• Milagros Calderon, RN

• Hand Occupational Therapist in Hauppauge, NY
• Providers in Hauppauge, NY by specialty
• Hand Occupational Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.