Active NPI
Megan Elizabeth Desimone, OTR/L
- Occupational Therapist
- Farmingdale, NY
National Provider Identifier
1972074557
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 022635
- Practice address
- 116 E Carmans Rd
Farmingdale, NY 11735-3836 - Phone
- (631) 752-3938
- Fax
- (631) 752-3938
- NPI assigned
- Dec 7, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 46TR01017600 | NJ | |
| Occupational Therapist | 225X00000X | 022635 | NY | Primary |
Addresses
Primary practice location
116 E Carmans Rd
Farmingdale, NY 11735-3836
Mailing address
20 Carreau Ave
Staten Island, NY 10314-3729
Phone (516) 592-1792
Other names 1
- Megan Elizabeth Nicholes
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1844 2ND Ave
New York, NY 10128-3862
Phone (877) 407-3422
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 46TR01017600 | NJ | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fox Rehabilitation Physical Therapy Services LLC | Occupational Therapist | Current | Accepting new patients |
Locations
7 Carnegie Plz
Cherry Hill, NJ 08003
1415 Richmond Ave
Staten Island, NY 10314
Phone (212) 475-5540
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
- New York, NY
- NPI 1174560650
Occupational Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1544140800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1755648000000",
"number": "1972074557",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20 CARREAU AVE",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103143729",
"telephone_number": "516-592-1792",
"fax_number": "631-752-3938"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "116 E CARMANS RD",
"city": "FARMINGDALE",
"state": "NY",
"postal_code": "117353836",
"telephone_number": "631-752-3938",
"fax_number": "631-752-3938"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DESIMONE",
"first_name": "MEGAN",
"middle_name": "ELIZABETH",
"name_prefix": "Ms.",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-12-07",
"last_updated": "2025-08-20",
"certification_date": "2025-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NJ",
"license": "46TR01017600",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NY",
"license": "022635",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MEGAN",
"last_name": "NICHOLES",
"middle_name": "ELIZABETH",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Farmingdale, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2025; 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.