EAST END OCCUPATIONAL THERAPY, PLLC
NPI 1649531567
Clinic/Center - Multi-Specialty in Bohemia, NY
About East End Occupational Therapy, Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
EAST END OCCUPATIONAL THERAPY, PLLC (NPI 1649531567) is a healthcare organization registered as a multi-specialty in Bohemia, New York and active in the NPI registry since June 2012. The organization lists Anthony J Marullo, Occupational Therapist- Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
East End Occupational Therapy, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date 2
Next revalidation due by January 31, 2027
This provider holds 2 Medicare enrollments with upcoming revalidation dates. Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to East End Occupational Therapy, PLLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.
Clinicians, nearest first (2)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is East End Occupational Therapy, PLLC's NPI number?
The NPI number for East End Occupational Therapy, PLLC is 1649531567. It was assigned to this organization in the NPPES registry on June 7, 2012.
Where is East End Occupational Therapy, PLLC located?
East End Occupational Therapy, PLLC is located at 868 Church St Ste 4, Bohemia, NY 11716. The listed phone number is (631) 676-4185.
What is East End Occupational Therapy, PLLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.
Is East End Occupational Therapy, PLLC enrolled in Medicare?
Yes. East End Occupational Therapy, PLLC is registered in the Medicare PECOS enrollment system.
When is East End Occupational Therapy, PLLC's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), East End Occupational Therapy, PLLC holds 2 Medicare enrollments with upcoming revalidation dates. The next is due by January 31, 2027 (Non-DME Part B, New York, Clinic/Group Practice). Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through East End Occupational Therapy, PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Occupational Therapist in Private Practice, reassign their Medicare billing to East End Occupational Therapy, PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for East End Occupational Therapy, PLLC was last updated on April 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# East End Occupational Therapy, Pllc · NPI 1649531567
Multi-Specialty organization in Bohemia, New York. Organization record, active in the CMS NPPES registry since June 7, 2012.
## Identity
- **NPI:** 1649531567 (Entity type: Organization)
- **Enumerated:** June 7, 2012
- **Primary specialty:** Clinic/Center - Multi-Specialty · taxonomy 261QM1300X
- **Organization subpart:** No
- **Authorized official:** Anthony Marullo, OCCUPATIONAL THERAPIST- OWNER
## Practice location
- **Address:** 868 CHURCH ST STE 4, Bohemia, NY 11716-5021
- **Phone:** (631) 676-4185 · **Fax:** (631) 676-4186
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** January 31, 2027 (Non-DME Part B, New York, Clinic/Group Practice), next of 2 enrollments with upcoming dates · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 2 clinicians (Occupational Therapist in Private Practice) reassign Medicare billing to this organization (form CMS-855R); 1 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 28, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1649531567) · Data from the CMS NPPES public registry.