Individual provider Active NPI

Michelle Maio, OTRL

  • Occupational Therapist
  • Islandia, NY
National Provider Identifier
1992839948
Registry record updated Jul 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
014235-1 Issued in NY
Practice address
1770 Motor Pkwy Ste 202
Islandia, NY 11749-5260
Phone
(631) 582-0088
NPI assigned
Mar 14, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 014235-1 NY Primary

Addresses

Primary practice location

1770 Motor Pkwy Ste 202
Islandia, NY 11749-5260

Mailing address

11 Charles St
Centereach, NY 11720-4023

Other practice location 1

99 Hollywood Dr
Smithtown, NY 11787-3135
Phone (631) 366-5800

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Https://thetherapyspot.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
014235-1NYMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Thetherapyspotforpediatric&Adultspeechphysical&Occupationaltherapypllc Occupational Therapist PastSince Jul 19, 2020 Accepting new patients
The Therapy Spot for Pediatric & Adult Speech Physical Occupational TH PastSince Jul 19, 2020 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594684800000",
    "number": "1992839948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 CHARLES ST",
            "city": "CENTEREACH",
            "state": "NY",
            "postal_code": "117204023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1770 MOTOR PKWY STE 202",
            "city": "ISLANDIA",
            "state": "NY",
            "postal_code": "117495260",
            "telephone_number": "631-582-0088"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "99 Hollywood Dr",
            "address_purpose": "LOCATION",
            "city": "Smithtown",
            "state": "NY",
            "postal_code": "117873135",
            "country_code": "US",
            "telephone_number": "631-366-5800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAIO",
        "first_name": "MICHELLE",
        "credential": "OTRL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-14",
        "last_updated": "2020-07-14",
        "certification_date": "2020-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "014235-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Https://thetherapyspot.net",
            "affiliation": "N",
            "address_1": "1770 Motor Pkwy Ste 202",
            "city": "Islandia",
            "state": "NY",
            "country_code": "US",
            "postal_code": "117495260",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Islandia, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.