Organization Active NPI

South Shore Hand Therapy and Occupational Therapy PLLC

  • Pediatric Occupational Therapist
  • Merrick, NY
National Provider Identifier
1992860076
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
002788-1 Issued in NY
Legal business name
SOUTH SHORE HAND THERAPY AND OCCUPATIONAL THERAPY PLLC
Practice address
2108 Merrick Mall
Merrick, NY 11566-3626
Phone
(516) 868-5302
Fax
(516) 546-7681
NPI assigned
Dec 27, 2006
Last updated
Sep 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Ms. Nancy K Marder, OTR
Title
Owner
Phone
(516) 868-5302

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Hand Occupational TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225XH1200X 002788-1 NY
Neurorehabilitation Occupational TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225XN1300X 002788-1 NY
Pediatric Occupational TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225XP0200X 002788-1 NY Primary

Addresses

Primary practice location

2108 Merrick Mall
Merrick, NY 11566-3626

Mailing address

2384 Lindenmere Dr
Merrick, NY 11566-4312
Phone (516) 868-5302

Other names 1

  • DBA SOUTH SHORE HAND THERAPY Former legal business name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1992860076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2384 LINDENMERE DR",
            "city": "MERRICK",
            "state": "NY",
            "postal_code": "115664312",
            "telephone_number": "516-868-5302",
            "fax_number": "516-546-7681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2108 MERRICK MALL",
            "city": "MERRICK",
            "state": "NY",
            "postal_code": "115663626",
            "telephone_number": "516-868-5302",
            "fax_number": "516-546-7681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH SHORE HAND THERAPY AND OCCUPATIONAL THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-27",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "MARDER",
        "authorized_official_first_name": "NANCY",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-868-5302",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "OTR"
    },
    "taxonomies": [
        {
            "code": "225XH1200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Occupational Therapist, Hand",
            "state": "NY",
            "license": "002788-1",
            "primary": false
        },
        {
            "code": "225XN1300X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Occupational Therapist, Neurorehabilitation",
            "state": "NY",
            "license": "002788-1",
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NY",
            "license": "002788-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DBA SOUTH SHORE HAND THERAPY",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Merrick, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.