MRS. JOANN B DISTASI (NPI# 1831201300) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831201300 |
| Entity Type | Individual |
| Full Name | MRS. JOANN B DISTASI |
| Credential | OTR |
| Practice Address |
346 Westbury Ave Carle Place NY 11514-1654 |
| Practice Telephone | 5163331481 |
| Practice Fax Number | 5163330549 |
| Mailing Telephone | 5163331481 |
| Mailing Fax Number | 5163330549 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2010-04-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225XH1200X |
Occupational Therapist Specialization: Hand |
004332-1 | NY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | NHIC GROUP # | 0453920001 | 01 |
| Street Address |
346 WESTBURY AVE |
| City | CARLE PLACE |
| State | NY |
| Zip Code | 11514-1654 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174521470 | Deborah Brienza | Occupational Therapist | 346 Westbury Ave, Carle Place, NY 11514-1654 | 2005-07-11 |
| 1497867980 | Patricia Ann Nicholes | Occupational Therapist | 346 Westbury Ave, Carle Place, NY 11514-1654 | 2006-08-31 |
| 1679681365 | Hand In Hand Rehabilitation, Ot, PC | Occupational Therapist | 346 Westbury Ave, Carle Place, NY 11514-1654 | 2006-08-25 |
| 1295840445 | Eileen Marie Meehan | Occupational Therapist | 346 Westbury Ave, Carle Place, NY 11514-1654 | 2006-08-20 |
| 1972537553 | Donna M Larussa | Occupational Therapist | 346 Westbury Ave, Carle Place, NY 11514-1654 | 2006-07-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972974053 | Joi Patel | Occupational Therapist | 306 Raff Avenue, Carle Place, NY 11514 | 2015-10-14 |
| 1114312907 | Jessica Elizabeth Omara | Pediatrics | 181 Old Country Rd, Carle Place, NY 11514 | 2015-03-30 |
| 1578873436 | Jean-gabriel Desravines | Registered Nurse | 4 Cornwall Lane, Carle Place, NY 11514 | 2010-10-13 |
| 1033441530 | Francesco G Scoleri | Pharmacist | 93 Old Country Road, Carle Place, NY 11514 | 2010-02-08 |
| 1538309265 | Salvatore Martella | Prosthetist | 516 Mineola Ave, Progressive Orthotics & Prosthetics, Carle Place, NY 11514 | 2009-02-20 |
| 1699915306 | Erika Beth Mark | Student in an Organized Health Care Education/Training Program | 181 Old Country Road, Carle Place, NY 11514 | 2009-02-20 |
| 1013121649 | Victor J Fumuso | Podiatrist | 474 Westbury Ave, Carle Place, NY 11514 | 2007-05-10 |
| 1275684144 | Rosaire Laine | Nurse Practitioner | 2376 Pempstad Tpke, East Meadow, NY 11514 | 2007-01-16 |
| 1083708788 | Vicki Kulberg | Social Worker | 1 Old Country Road, Suite 295, Carle Place, NY 11514 | 2006-10-03 |
| 1720044274 | Carmen J Finamore | Family Medicine | 536 Mineola Avenue, Carle Place, NY 11514 | 2006-04-25 |
| Find all providers in zip 11514 | ||||
| Taxonomy Code | 225XH1200X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapist |
| Specialization | Hand |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194837674 | Karen Wurzer | Occupational Therapist | 245 Westbury Ave, Carle Place, NY 11514-1604 | 2006-08-31 |
| 1174521470 | Deborah Brienza | Occupational Therapist | 346 Westbury Ave, Carle Place, NY 11514-1654 | 2005-07-11 |
| 1497867980 | Patricia Ann Nicholes | Occupational Therapist | 346 Westbury Ave, Carle Place, NY 11514-1654 | 2006-08-31 |
| 1295840445 | Eileen Marie Meehan | Occupational Therapist | 346 Westbury Ave, Carle Place, NY 11514-1654 | 2006-08-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457958415 | Fathima Mohamed | Occupational Therapist | 209 Hooper St Apt 3, Brooklyn, NY 11211-9615 | 2020-10-02 |
| 1689213357 | Rhonda Reininger | Occupational Therapist | 240 E 38th St Ste 15-53, New York, NY 10016-2708 | 2019-12-30 |
| 1982255253 | Monika Dworakowski | Occupational Therapist | 6132 Riverdale Ave, Bronx, NY 10471-1009 | 2019-09-26 |
| 1306408372 | Laura Beth Lory | Occupational Therapist | 244 W 54th St Unit 404, New York, NY 10019-5597 | 2019-07-01 |
| 1396220778 | Chia-chen Chang | Occupational Therapist | 13620 38th Ave Ste 8a, Flushing, NY 11354-4232 | 2018-10-01 |
| 1043705338 | Richard Jay Russ | Occupational Therapist | 30 Merritt Ave, Massapequa, NY 11758-7931 | 2018-06-28 |
| 1841705498 | Hand In Hand Occupational Therapy of Li, Pllc | Occupational Therapist | 764 Middle Country Rd Ste 1, Selden, NY 11784-2503 | 2017-12-05 |
| 1235648395 | William L Jim | Occupational Therapist | 139 Centre St Ste 814, New York, NY 10013 | 2017-09-21 |
| 1922451871 | Sports Physical Therapy Occupational Therapy and Rehabilitation Servic | Occupational Therapist | 1160 E Jericho Tpke, Suite 123, Huntington, NY 11743-5400 | 2016-07-15 |
| 1316362510 | Hand Therapy New York Ot Pllc | Occupational Therapist | 20 E 35th St Lbby 1e, New York, NY 10016-3853 | 2014-02-25 |
| Find all providers with the same taxonomy | ||||
| City | CARLE PLACE |
| Zip Code | 11514 |
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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.