Healthcare Provider Details

I. General information

NPI: 1609791730
Provider Name (Legal Business Name): OT THERAPEUTICS PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/10/2026
Last Update Date: 08/10/2026
Certification Date: 08/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

179 SOUND RD
WADING RIVER NY
11792-1032
US

IV. Provider business mailing address

179 SOUND RD
WADING RIVER NY
11792-1032
US

V. Phone/Fax

Practice location:
  • Phone: 631-561-7383
  • Fax: 631-251-7013
Mailing address:
  • Phone: 631-561-7383
  • Fax: 631-251-7013

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State

VIII. Authorized Official

Name: SHARON CHRISTINA BENDZLOWICZ-VOGT
Title or Position: PRESIDENT/ OCCUPATIONAL THERAPIST
Credential: OTR/L
Phone: 631-561-7383