MATT CARLINS (NPI# 1326598467) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326598467 |
| Entity Type | Individual |
| Full Name | MATT CARLINS |
| Practice Address |
225 Broadhollow Rd Ste 402 Melville NY 11747-4899 |
| Practice Telephone | 6314385778 |
| Mailing Telephone | 6314385778 |
| Enumeration Date | 2016-10-13 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | 022108 | NY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 299 Hallock Ave, Port Jefferson Station, NY 117761217 | 6314734284 | |
| 90 Otis Rd, Islip Terrace, NY 117521908 | 6317423361 |
| Street Address |
225 BROADHOLLOW RD STE 402 |
| City | MELVILLE |
| State | NY |
| Zip Code | 11747-4899 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235464108 | Kim Pyrros | Social Worker | 225 Broadhollow Rd Ste 402, Melville, NY 11747-4899 | 2009-10-12 |
| 1720689656 | Kimberly M Jimenez Verde | Behavior Technician | 225 Broadhollow Rd Ste 402, Melville, NY 11747-4899 | 2020-11-06 |
| 1316548340 | Anina Chandanie Racktoo | Behavior Technician | 225 Broadhollow Rd Ste 402, Melville, NY 11747-4899 | 2020-11-05 |
| 1295336527 | Jaclyn Taylor Parcelluzzi | Behavior Technician | 225 Broadhollow Rd Ste 402, Melville, NY 11747-4899 | 2020-11-03 |
| 1922607506 | Kirk F A'gard | Behavior Technician | 225 Broadhollow Rd Ste 402, Melville, NY 11747-4899 | 2020-10-23 |
| 1316546559 | Michelle Lam | Behavior Technician | 225 Broadhollow Rd Ste 402, Melville, NY 11747-4899 | 2020-10-19 |
| 1306445663 | Yasmine Burns-pratt | Behavior Technician | 225 Broadhollow Rd Ste 402, Melville, NY 11747-4899 | 2020-10-19 |
| 1508464439 | Gina Michelle Cilento | Behavior Technician | 225 Broadhollow Rd Ste 402, Melville, NY 11747-4899 | 2020-10-13 |
| 1558969691 | Deryn Hults | Behavior Technician | 225 Broadhollow Rd Ste 402, Melville, NY 11747-4899 | 2020-10-12 |
| 1407453855 | Raizel Madriaga | Behavior Technician | 225 Broadhollow Rd Ste 402, Melville, NY 11747-4899 | 2020-10-07 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891316139 | Shaina Flanzraich | Physical Therapist | 3237 1800 Walt Whitman Rd, 120, Melville, NY 11747 | 2020-04-28 |
| 1952943763 | Liana Danielle Maher | Behavior Technician | 225 Broadhallow Road Suite 402, Melville, NY 11747 | 2019-10-14 |
| 1114402096 | Anicka Inez Douglas | Behavior Technician | 225 Broadhollow Road Suite 402, Melville, NY 11747 | 2018-09-26 |
| 1962988717 | Brien Nina-louise Potter | Behavior Technician | 225 Broadhollow Road, Suite 402, Melville, NY 11747 | 2018-07-16 |
| 1750804951 | Iri: Innovative Resources for Independence | Intermediate Care Facility, Mentally Retarded | 922 Rainbow Commons Ct, Melville, NY 11747 | 2017-07-19 |
| 1386178127 | Marissa Zydor | Specialist | 538 Ny-110 #202, Melville, NY 11747 | 2017-04-19 |
| 1992236624 | Annmarie Irene Russo | Behavior Technician | 538 Ny-110, Suite 202, Melville, NY 11747 | 2017-03-24 |
| 1205378130 | Independent Group Home Living Program, Inc | Nursing Facility/Intermediate Care Facility | 914 Rainbow Commons, Melville, NY 11747 | 2016-11-09 |
| 1932641867 | Independent Group Home Living Program, Inc | Nursing Facility/Intermediate Care Facility | 917 Rainbow Commons, Melville, NY 11747 | 2016-11-09 |
| 1740732999 | Independent Group Home Living Program, Inc | Nursing Facility/Intermediate Care Facility | 924 Rainbow Commons, Melville, NY 11747 | 2016-11-03 |
| Find all providers in zip 11747 | ||||
| Taxonomy Code | 225X00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapist |
| An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life. |
| Notes: Source: The Guide to Occupational Therapy Practice, 2nd edition. Bethesda: American Occupational Therapy Association, 2007. [7/1/2008: definition changed, added source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790276228 | Allison Brodmerkel | Occupational Therapist | 225 Broadhollow Rd Ste 401, Melville, NY 11747-4899 | 2018-05-21 |
| 1285924050 | Valerie Miele | Occupational Therapist | 5 King Ave, Melville, NY 11747-1213 | 2011-04-14 |
| 1467697045 | Claire Wexler | Occupational Therapist | 40 Woodmont Rd, Melville, NY 11747-3319 | 2008-12-10 |
| 1093966921 | Melissa A Larsen | Occupational Therapist | 238 Round Swamp Rd, Melville, NY 11747-1903 | 2008-10-09 |
| 1215094610 | Sejal Parikh | Occupational Therapist | 7 Richbourne Ln, Melville, NY 11747-3915 | 2007-01-03 |
| 1386291508 | Elizabeth Kathleen Young | Occupational Therapist | 121 Broadhollow Rd, Melville, NY 11747-4906 | 2019-08-22 |
| 1598240434 | Brittany Burbell | Occupational Therapist | 1895 Walt Whitman Rd, Melville, NY 11747-3031 | 2018-09-26 |
| 1558859116 | Kimberly Ann Paulsen | Occupational Therapist | 225 Broadhollow Rd Ste 402, Melville, NY 11747-4899 | 2018-04-28 |
| 1083012272 | Jamie Ilyssa Edelson | Occupational Therapist | 1895 Walt Whitman Rd, Melville, NY 11747-3031 | 2014-12-21 |
| 1306264767 | Danielle Rosen | Occupational Therapist | 538 Broadhollow Rd, Melville, NY 11747-3676 | 2014-04-02 |
| Find all providers in MELVILLE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.