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NPI Code Detail

MEDICARE: OT SENSORY STARS, PLLC

MEDICARE: OT SENSORY STARS, PLLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist
2235Z00000XSpeech-Language Pathologist
3225XP0200XPediatric Occupational Therapist

General Provider Information

NPI Number : 1497212989
Entity Type Code : Organization
Provider Name (Legal Business Name) : OT SENSORY STARS, PLLC
Provider Business Mailing Address
First Line : 4006 BERRYWOOD DR
Second Line :
City : SEAFORD
State : NY
Zip : 11783-1309
Country : US
Telephone Number : 631-572-6919
Fax Number :
Provider Business Practice Location Address
First Line : 3559 MERRICK RD
Second Line :
City : SEAFORD
State : NY
Zip : 11783-2833
Country : US
Telephone Number : 631-572-6919
Fax Number :
Authorized Official
Title or Position : OWNER
Name : CRYSTAL NICOLE NASUTI
Credential : MS OTR/L
Telephone Number : 631-572-6919
Provider Enumeration Date : 02/21/2019
Last Update Date : 09/02/2025

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