=====================================================
General NPI Number Information
=====================================================
NPI Number | 1902781040
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | LINDA CALISE
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/07/2025
-----------------------------------------------------
Last Update Date | 08/07/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 9 MELROSE AVE
-----------------------------------------------------
City | CROTON ON HUDSON
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 10520-2711
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 917-692-1056
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 9 MELROSE AVE
-----------------------------------------------------
City | CROTON ON HUDSON
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 10520-2711
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 917-692-1056
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OCCUPATIONAL THERAPIST
-----------------------------------------------------
Name | LINDA M CALISE
-----------------------------------------------------
Credential | OTR/L
-----------------------------------------------------
Telephone | 917-740-7810
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 225XP0200X
-----------------------------------------------------
Taxonomy Name | Pediatric Occupational Therapist
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------