SPORTS PHYSICAL THERAPY OCCUPATIONAL THERAPY AND REHABILITATION SERVIC (NPI# 1780202192) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780202192 |
| Entity Type | Organization |
| Organization Name | SPORTS PHYSICAL THERAPY OCCUPATIONAL THERAPY AND REHABILITATION SERVIC |
| Practice Address |
3311 Hylan Blvd Staten Island NY 10306-3611 |
| Mailing Address |
1983 Marcus Ave Ste 119 New Hyde Park NY 11042-1016 |
| Practice Telephone | 7184483210 |
| Mailing Telephone | 5163217526 |
| Enumeration Date | 2020-07-12 |
| Last Update Date | 2020-07-12 |
| Authorized Official Name | DANIEL VAKNIN (VICE PRESIDENT) |
| Authorized Official Telephone | 5163217801 |
| Authorized Official Credential | PT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225XH1200X |
Occupational Therapist Specialization: Hand |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376161778 | Sports Physical Therapy Occupational Therapy and Rehabilitation Servic | Physical Therapist | 2608 Merrick Rd, Bellmore, NY 11710-5715 | 2020-07-12 |
| 1922451871 | Sports Physical Therapy Occupational Therapy and Rehabilitation Servic | Occupational Therapist | 1160 E Jericho Tpke, Suite 123, Huntington, NY 11743-5400 | 2016-07-15 |
| 1164040564 | Sports Physical Therapy Occupational Therapy and Rehabilitation Servic | Occupational Therapist | 1101 Stewart Ave Ste 100, Garden City, NY 11530-4833 | 2020-07-12 |
| 1235757642 | Sports Physical Therapy Occupational Therapy and Rehabilitation Servic | Occupational Therapist | 45 Crossways Park Dr W, Woodbury, NY 11797-2002 | 2020-07-12 |
| 1508484916 | Sports Physical Therapy Occupational Therapy and Rehabilitation Servic | Physical Therapist | 444 Merrick Rd, Lynbrook, NY 11563-2460 | 2020-07-12 |
| 1417462755 | Sports Physical Therapy Occupational Therapy and Rehabilitation Servic | Physical Therapist | 95-25 Queens Blvd, Suite D, Rego Park, NY 11374 | 2017-12-08 |
| 1346795929 | Sports Physical Therapy Occupational Therapy and Rehabilitation Servic | Physical Therapist | 801 Merrick Ave, East Meadow, NY 11554-4748 | 2016-08-24 |
| 1700331386 | Sports Physical Therapy Occupational Therapy and Rehabilitation Servic | Physical Therapist | 925 Hempstead Tpke, Suite 310, Franklin Square, NY 11010-3641 | 2016-08-24 |
| 1457806036 | Sports Physical Therapy Occupational Therapy and Rehabilitation Servic | Occupational Therapist | 210 E 64th St, 5th Floor, New York City, NY 10021-2000 | 2016-08-24 |
| 1942653563 | Sports Physical Therapy Occupational Therapy and Rehabilitation Servic | Occupational Therapist | 1554 Northern Blvd, Suite 202, Manhasset, NY 11030 | 2016-07-19 |
| Street Address |
3311 HYLAN BLVD |
| City | STATEN ISLAND |
| State | NY |
| Zip Code | 10306-3611 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962406306 | John Vito Capotorto | Internal Medicine | 3311 Hylan Blvd, Staten Island, NY 10306 | 2005-06-13 |
| 1821620022 | Bartlomiej Zylewicz | Occupational Therapist | 3311 Hylan Blvd, Staten Island, NY 10306-3611 | 2020-02-06 |
| 1013548999 | North Shore-lij Cardiovascular Medicine PC | Occupational Therapist | 3311 Hylan Blvd, Staten Island, NY 10306-3611 | 2020-01-30 |
| 1699276618 | Otabek Pulatov | Physician Assistant | 3311 Hylan Blvd, Staten Island, NY 10306-3611 | 2018-02-25 |
| 1851773170 | Sissey Kurian | Physician Assistant | 3311 Hylan Blvd, Staten Island, NY 10306-3611 | 2015-06-23 |
| 1285035006 | Michael Denicola | Orthotic Fitter | 3311 Hylan Blvd, Staten Island, NY 10306-3611 | 2014-09-11 |
| 1235472986 | Michelle O Twito | Physician Assistant | 3311 Hylan Blvd, Staten Island, NY 10306-3611 | 2013-04-01 |
| 1801061684 | Nakul Mahajan | Anesthesiology | 3311 Hylan Blvd, Staten Island, NY 10306 | 2008-04-23 |
| 1114983434 | Thomas S. Doty | Physician Assistant | 3311 Hylan Blvd, 2nd Floor, Staten Island, NY 10306-3688 | 2006-04-25 |
| 1972584696 | Albert B Accettola Jr. | Orthopaedic Surgery | 3311 Hylan Blvd, Staten Island, NY 10306-3688 | 2005-11-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134737372 | Nancy Burns | Counselor | 345 Guyon Ave # 14, Staten Island, NY 10306 | 2020-07-14 |
| 1710537642 | Happy Island Senior Center LLC | Clinic/Center | 555 Greeley Ave, Staten Island, NY 10306 | 2019-09-12 |
| 1215580055 | Keann Pender | Counselor | 345 Guyon Ave Rm 14, Staten Island, NY 10306 | 2019-07-22 |
| 1346751435 | Amanda Nicole Lewis | Speech-Language Pathologist | 465 New Dorp Lane, The Richard H. Hungerford School, Staten Island, NY 10306 | 2017-10-17 |
| 1649793142 | Olympia Services Inc | Radiology | 1913 Olympia Blvd., Staten Island, NY 10306 | 2017-07-18 |
| 1265961601 | A & S Educational Technology Inc. | Early Intervention Provider Agency | 99 Sydney Pl, Staten Island, NY 10306 | 2017-06-08 |
| 1124489638 | Prospect Kids, LLC | Early Intervention Provider Agency | 21 Kayla Court, Staten Island, NY 10306 | 2016-03-10 |
| 1124498407 | Tatyana Kateva | Registered Nurse | 1975 Hylan Blvd Suite 1, Staten Island, NY 10306 | 2015-09-30 |
| 1336536275 | Natallia Verbitsky | Occupational Therapist | 165 Twombly Ave, Staten Island, NY 10306 | 2015-04-17 |
| 1922491745 | Evan Ross Cohen | Dentist | 1975 Hylan Blvd., Unit #2, Hylan Dental Arts, Staten Island, NY 10306 | 2015-03-18 |
| Find all providers in zip 10306 | ||||
| Taxonomy Code | 225XH1200X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapist |
| Specialization | Hand |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750355111 | Hands At Work Inc | Occupational Therapist | 27 New Dorp Lane, Hands At Work, Staten Island, NY 10306 | 2006-02-14 |
| 1245545698 | Barry Lei | Occupational Therapist | 242 Mason Ave, Staten Island, NY 10305-3408 | 2010-08-10 |
| 1982695565 | Mona A Samaan | Occupational Therapist | 3311 Hylan Blvd, Staten Island, NY 10306-3688 | 2005-11-02 |
| 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 | STATEN ISLAND |
| Zip Code | 10306 |
Please comment or provide details below to improve the information on SPORTS PHYSICAL THERAPY OCCUPATIONAL THERAPY AND REHABILITATION SERVIC.
| 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.