NIKKI M DEMATTEO OT, CHT
NPI 1679789929
Occupational Therapist in East Patchogue, NY

Active since May 15, 2007Accepts Medicare Assignment
240 PATCHOGUE YAPHANK RD, SUITE101, EAST PATCHOGUE, NY 11772(631) 438-0515(631) 438-0516 Get Directions Write a Review

NPPES record last updated: October 31, 2013. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Nikki M Dematteo Ot, Cht NPPES

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

NIKKI M DEMATTEO OT, CHT (NPI 1679789929) is an individual occupational therapist in East Patchogue, New York, licensed in New York (008249) and active in the NPI registry since May 2007. She is a graduate of Other (1997).

NPPES Registry Identity

NPI1679789929
Entity TypeIndividualFemale
Primary Taxonomy225X00000X
Provider Legal NameNIKKI M DEMATTEOCredential: OT, CHT
Location Address240 PATCHOGUE YAPHANK RD, SUITE101East Patchogue, NY 11772-4868
Mailing Address240 Patchogue Yaphank Rd, Suite101East Patchogue, NY 11772-4868 · (631) 438-0515 · Fax (631) 438-0516
Fax(631) 438-0516
Sole ProprietorNo
Medical School CMSOtherGraduated 1997
Enumeration DateMay 15, 2007
Last NPPES UpdateOctober 31, 2013
✔ NPI 1679789929 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOccupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225X00000X
License✔ Licensed in NY · 008249
Definition
An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life.
240 PATCHOGUE YAPHANK RD, East Patchogue, NY 11772

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Nikki M Dematteo Ot, Cht is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID143469643
PECOS Enrollment IDI20131025000853

Medicare Billing Reassignment

Medicare enrollment records show Nikki Dematteo reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Physical Therapist
34 BAY ST STE 205-206
Sag Harbor, NY 11963
  • Reassigned Medicare billing, New York enrollment
  • 8 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 12

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

Specialist
240 PATCHOGUE YAPHANK RD, SUITE 211
EAST PATCHOGUE, NY 11772
Audiologist
240 PATCHOGUE YAPHANK RD, SUITE 1
EAST PATCHOGUE, NY 11772
Occupational Therapist (Hand)
240 PATCHOGUE YAPHANK RD, SUITE 101
EAST PATCHOGUE, NY 11772
Physical Medicine & Rehabilitation
240 PATCHOGUE YAPHANK RD, SUITE 101
EAST PATCHOGUE, NY 11772
Internal Medicine (Cardiovascular Disease)
240 PATCHOGUE YAPHANK RD
EAST PATCHOGUE, NY 11772
Dentist (General Practice)
240 PATCHOGUE YAPHANK RD
EAST PATCHOGUE, NY 11772
Psychiatry & Neurology (Psychiatry)
240 PATCHOGUE YAPHANK RD, SUITE 211
EAST PATCHOGUE, NY 11772
Physical Medicine & Rehabilitation
240 PATCHOGUE YAPHANK RD, SUITE 101
EAST PATCHOGUE, NY 11772

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 Nikki Dematteo's NPI number?

The NPI number for Nikki Dematteo is 1679789929. It was assigned to this individual provider in the NPPES registry on May 15, 2007.

Where is Nikki Dematteo located?

Nikki Dematteo practices at 240 Patchogue Yaphank Rd Suite101, East Patchogue, NY 11772. The listed phone number is (631) 438-0515.

What is Nikki Dematteo's specialty?

The primary specialty registered for this NPI is Occupational Therapist with taxonomy code 225X00000X.

Is Nikki Dematteo enrolled in Medicare?

Yes. Nikki Dematteo is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Nikki Dematteo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nikki Dematteo reassigns Medicare benefits to Latitude Physical Therapy (Sag Harbor, NY). The 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 Nikki Dematteo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Nikki Dematteo was last updated on October 31, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.