Alexander John Michalos, OTR/L
Occupational Therapist in Middle Island, NY. Individual provider (NPI-1).
NPI number1104523992
StatusActive
Last updated in NPPESFeb 13, 2023
Details
- NPI
- 1104523992
- Entity type
- Individual (NPI-1)
- Name
- Alexander John Michalos
- Credential
- OTR/L
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Feb 13, 2023
- Certification date
- Feb 11, 2023
- Last updated
- Feb 13, 2023
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225X00000X | Occupational Therapist | 027294 | NY | Yes |
Practice location
35 Longwood RdMiddle Island, NY 11953-2045
Phone 631-924-0008
Mailing address
2 Gotham CtMount Sinai, NY 11766-2354
Phone 631-902-7412
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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