Luanne Horne
Individual provider Active NPI Occupational Therapist · Brightwaters, NY
NPI 1972874642 · NPPES record last updated Jan 26, 2012
Key facts
- NPI
- 1972874642
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- L-63012149 (NY)
- Practice address
- 474 Richland Blvd
Brightwaters, NY 11718-1224 - Phone
- (631) 968-8532
- NPI assigned
- Jan 26, 2012
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120307000711 | NY | Practitioner - Occupational Therapist in Private Practice | 3375702566 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 012149 | NY | MD | Clinical Psychologist |
| L-63012149 | NY | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Welllife Network Inc. | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | L-63012149 | NY | Yes |
Addresses
Primary practice location
474 Richland Blvd
Brightwaters, NY 11718-1224
Mailing address
474 Richland Blvd
Brightwaters, NY 11718-1224
Phone (631) 968-8532
Other providers in Brightwaters, NY
- Isabella Rose Giordano
- Nicole Grehn
- Kaitlin Haines
- Gary Hanson
- Kristen Hayward
- Ekambaram Ilamathi
- Island Gynecologic Oncology, PLLC
- Christian Alexander Jurak
- Elizabeth Kennedy
- Christine Marie Kershaw
All providers in Brightwaters, NY · Occupational Therapist in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 26, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.