| Michelle Lynne Lepore, OTR/L | |
|
1428 5th Ave, Bay Shore, NY 11706-4147 | |
| (413) 244-4120 | |
| Not Available |
| Full Name | Michelle Lynne Lepore |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist |
| Location | 1428 5th Ave, Bay Shore, New York |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861981607 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | 019014 (New York) | Primary |
| Provider Name | Sports Physical Therapy Occupational Therapy And Rehabilitation Servic |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1770540593 PECOS PAC ID: 0446140446 Enrollment ID: O20040315001603 |
| Mailing Address | Practice Location Address |
|---|---|
| Michelle Lynne Lepore, OTR/L 842 Aberdeen Rd, Bay Shore, NY 11706-7711 Ph: () - | Michelle Lynne Lepore, OTR/L 1428 5th Ave, Bay Shore, NY 11706-4147 Ph: (413) 244-4120 |
Andrea Passannante, OT, OTR/L, CDIS Occupational Therapist Medicare: Medicare Enrolled Practice Location: 301 E Main St, Bay Shore, NY 11706 Phone: 631-968-3400 | |
Alyssa Verron, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 75 Perkal St, Bay Shore, NY 11706 Phone: 631-968-1252 | |
Brielle Theresa Mcgullam, Occupational Therapist Medicare: Medicare Enrolled Practice Location: 85 W Main St Ste 202, Bay Shore, NY 11706 Phone: 631-206-3130 | |
Mrs. Susan L Gouldson, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1428 5th Avenue, Bay Shore, NY 11706 Phone: 631-665-1900 | |
Natalia Magdalena Umanzor, OTR/L Occupational Therapist Medicare: Medicare Enrolled Practice Location: 85 W Main St, Bay Shore, NY 11706 Phone: 631-206-3130 Fax: 631-223-4865 | |
Lindsey Elizabeth Kertland, MOTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1428 5th Ave, Bay Shore, NY 11706 Phone: 631-665-1900 | |
Danielle Hartnett, Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 85 W Main St Ste 202, Bay Shore, NY 11706 Phone: 631-206-3130 Fax: 631-206-3148 |