| Island Rehab Pt Ot Pllc | |
|
242 Natick St, Staten Island, NY 10306-1626 | |
| (718) 354-0457 | |
| Not Available |
| Full Name | Island Rehab Pt Ot Pllc |
|---|---|
| Type | Facility |
| Speciality | Occupational Therapist |
| Location | 242 Natick St, Staten Island, New York |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881047223 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (New York) | Secondary |
| 225X00000X | Occupational Therapist | 005711 (New York) | Primary |
| 225X00000X | Occupational Therapist | (New York) | Secondary |
| Provider Name | Rafael S Krakanovski |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1275873531 PECOS PAC ID: 6800012097 Enrollment ID: I20140724000475 |
| Provider Name | Yvonne Tarzia Morano |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1477784015 PECOS PAC ID: 1658661608 Enrollment ID: I20160602001742 |
| Provider Name | Dominick Napoletano |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1801084298 PECOS PAC ID: 7719264936 Enrollment ID: I20170425002824 |
| Provider Name | Douglas M Heigh |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1356888945 PECOS PAC ID: 8729365150 Enrollment ID: I20170511001852 |
| Provider Name | Bless Magpantay |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1255867958 PECOS PAC ID: 9537446976 Enrollment ID: I20170511002284 |
| Provider Name | Michael Leydeker |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1912398116 PECOS PAC ID: 3779852223 Enrollment ID: I20170627001663 |
| Provider Name | Thomas Logan Ruane |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1629634548 PECOS PAC ID: 4789911017 Enrollment ID: I20190809000673 |
| Provider Name | Amanda Grace Falsetta |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1851961254 PECOS PAC ID: 0648675827 Enrollment ID: I20210826000806 |
| Mailing Address | Practice Location Address |
|---|---|
| Island Rehab Pt Ot Pllc 242 Natick St, Staten Island, NY 10306-1626 Ph: (718) 354-0457 | Island Rehab Pt Ot Pllc 242 Natick St, Staten Island, NY 10306-1626 Ph: (718) 354-0457 |
Janine Marie Serdaros, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 115 Chandler Ave, Staten Island, NY 10314 Phone: 718-273-3893 | |
Irina Kushnirskaya, OTR/L Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 214 Sycamore St, Staten Island, NY 10312 Phone: 718-966-2613 | |
Tashawna Ferguson, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 100 Lindenwood Road, Staten Island, NY 10308 Phone: 718-356-2800 | |
Racheal Ojo, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 243 Gordon St # 2, Staten Island, NY 10304 Phone: 646-245-0547 | |
Michele Rosenfeld, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3391 Richmond Ave, Staten Island, NY 10312 Phone: 718-608-9710 | |
Rashel Spivak, Occupational Therapist Medicare: Medicare Enrolled Practice Location: 441 Harold Ave, Staten Island, NY 10312 Phone: 347-403-4897 | |
Stephanie M Powers, Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 475 Seaview Ave, Staten Island, NY 10305 Phone: 718-226-9466 |