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Marisa Bonventre, OTR

Occupational Therapist in Islip, NY. Individual provider (NPI-1).

NPI number1366089476
StatusActive
Last updated in NPPESDec 9, 2019

Details

NPI
1366089476
Entity type
Individual (NPI-1)
Name
Marisa Bonventre
Credential
OTR
Sex
Female
Sole proprietor
Yes
Enumeration date
Dec 9, 2019
Certification date
Dec 9, 2019
Last updated
Dec 9, 2019

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 codeDescriptionLicenseStatePrimary
225X00000X Occupational Therapist024272-01NYYes

Practice location

252 Islip Ave
Islip, NY 11751-3015

Phone 631-581-6800

Mailing address

107 Wartburg Ave Apt 109
Copiague, NY 11726-2941

Phone 631-374-2192

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.

Other Occupational Therapist providers in Islip, NY

All 15 Occupational Therapist providers in Islip · All 445 providers in Islip

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