Corinne Montana-Stack, OT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Practice address

395 Sunken Meadow Rd
Kings Park, NY 11754-1000

Phone

(516) 662-6092

NPI assigned

Mar 22, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Westbury Medical Care, P.C.

  • Rehabilitation Practitioner
  • Westbury, NY
  • NPI 1922136571
  Medicare reassignment NPD
• Post Chiropractic P.C.

  • Chiropractor
  • Westbury, NY
  • NPI 1659400752
  NPD (past)

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

{
    "created_epoch": "1584835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584835200000",
    "number": "1952937807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4247 CLARISSA RD",
            "city": "BETHPAGE",
            "state": "NY",
            "postal_code": "117146203",
            "telephone_number": "516-662-6092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "395 SUNKEN MEADOW RD",
            "city": "KINGS PARK",
            "state": "NY",
            "postal_code": "117541000",
            "telephone_number": "516-662-6092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTANA-STACK",
        "first_name": "CORINNE",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-22",
        "last_updated": "2020-03-22",
        "certification_date": "2020-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christina Minervini-Bertin
• Andre Misso, LAC
• ML Wellness Medical PLLC
• Kayla J Moffitt, LMHC-D
• James R Mongiello, DDS
• Dina Montemurro, NP
• Carol Ann Montoya
• Loretta Moraco
• Nieva Jacuba Morales
• Pierre Moreno

• Occupational Therapist in Kings Park, NY
• Providers in Kings Park, NY by specialty
• Occupational Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2020; 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.