Healthcare Provider Details

I. General information

NPI: 1356586424
Provider Name (Legal Business Name): RAMONA SARA SCOTT OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/03/2008
Last Update Date: 02/17/2025
Certification Date: 02/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

61 HAMPSHIRE RD
GREAT NECK NY
11023-1538
US

IV. Provider business mailing address

22 CELLER RD
EDISON NJ
08817-2949
US

V. Phone/Fax

Practice location:
  • Phone: 516-526-0941
  • Fax:
Mailing address:
  • Phone: 516-526-0941
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License Number014115
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number46TR00632400
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: