Individual provider Active NPI

Annemarie Rose Torre, OTR/L

  • Pediatric Occupational Therapist
  • Massapequa, NY
National Provider Identifier
1962761015
Registry record updated Apr 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
021382 Issued in NY
Practice address
217 N Michigan Ave
Massapequa, NY 11758-1847
Phone
(347) 996-0390
NPI assigned
May 10, 2012
Last updated
Apr 27, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 27, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X 021382 NY Primary

Addresses

Primary practice location

217 N Michigan Ave
Massapequa, NY 11758-1847

Mailing address

217 N Michigan Ave
Massapequa, NY 11758-1847
Phone (347) 996-0390

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230329003152 FL Practitioner - Occupational Therapist in Private Practice 6901174226 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Mercy College, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Palm Beach Physical Therapy Group LLCGroup PAC ID 7810306834, 4 clinicians

Practice addresses (Care Compare)

3005 S Congress Ave
Boynton Beach, FL 33426-9045
Phone (561) 317-8902

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
021382NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Palm Beach Physical Therapy Group, LLC CurrentSince Dec 16, 2022 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1336608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493251200000",
    "number": "1962761015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 N MICHIGAN AVE",
            "city": "MASSAPEQUA",
            "state": "NY",
            "postal_code": "117581847",
            "telephone_number": "347-996-0390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 N MICHIGAN AVE",
            "city": "MASSAPEQUA",
            "state": "NY",
            "postal_code": "117581847",
            "telephone_number": "347-996-0390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TORRE",
        "first_name": "ANNEMARIE",
        "middle_name": "ROSE",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-05-10",
        "last_updated": "2017-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NY",
            "license": "021382",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Massapequa, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.