AMANDA GROTTOLA
NPI 1114657954
Specialist in Westbury, NY

Q: What is the provider's specialty?

The provider's specialty is Specialist with taxonomy code 174400000X.

Active since June 14, 2022

1400 OLD COUNTRY RD STE C103N, WESTBURY, NY 11590(516) 990-2859 Get Directions Write a Review

NPPES record last updated: June 14, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

On this page

About Amanda Grottola NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AMANDA GROTTOLA (NPI 1114657954) is an individual specialist in Westbury, New York and active in the NPI registry since June 2022.

NPPES Registry Identity

NPI1114657954

Entity TypeIndividualFemale

Primary Taxonomy174400000X

Provider Legal NameAMANDA GROTTOLA

Location Address1400 OLD COUNTRY RD STE C103NWestbury, NY 11590-5156

Mailing Address4 Cabin LnEast Setauket, NY 11733-3403 · (631) 972-4506

Phone(516) 990-2859

Sole ProprietorYes

Enumeration DateJune 14, 2022

NPPES CertifiedJune 14, 2022

✔ NPI 1114657954 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

1400 OLD COUNTRY RD STE C103N, Westbury, NY 11590

Open in Google Maps ↗

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARY KATHERINE JOHNSON OTR/L

Occupational Therapist