Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MIA CONNOLLY OTR/L
NPI 1770458325
Occupational Therapist in Astoria, NY

Active since October 06, 2025Accepts Medicare Assignment
2529 BROADWAY, ASTORIA, NY 11106(646) 347-0060 Get Directions Write a Review

NPPES record last updated: July 23, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 23, 2026, Oct 6, 2025 (2 updates tracked since 2025).

About Mia Connolly Otr/l NPPES

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

MIA CONNOLLY OTR/L (NPI 1770458325) is an individual occupational therapist in Astoria, New York, licensed in New York (030497-01) and active in the NPI registry since October 2025. She is a graduate of Other (2025).

NPPES Registry Identity

NPI1770458325
Entity TypeIndividualFemale
Primary Taxonomy225X00000X
Provider Legal NameMIA CONNOLLYCredential: OTR/L
Location Address2529 BROADWAYAstoria, NY 11106-3413
Mailing Address1542 Forest Lake BlvdWantagh, NY 11793-2431 · (516) 639-3932
Sole ProprietorYes
Medical School CMSOtherGraduated 2025
Enumeration DateOctober 6, 2025
Last NPPES UpdateJuly 23, 20262 updates tracked since enumeration
NPPES CertifiedJuly 23, 2026
NPI 1770458325 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 · 030497-01
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.
2529 BROADWAY, Astoria, NY 11106

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mia Connolly Otr/l 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 ID648768630
PECOS Enrollment IDI20251022000720

Other Providers at the Same Location NPPES 8

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

Physical Therapist
2529 BROADWAY
ASTORIA, NY 11106
Physical Therapist
2529 BROADWAY
ASTORIA, NY 11106
Physical Therapist
2529 BROADWAY
ASTORIA, NY 11106
Physical Therapist
2529 BROADWAY
ASTORIA, NY 11106
Physical Therapist
2529 BROADWAY
ASTORIA, NY 11106
Occupational Therapist
2529 BROADWAY
ASTORIA, NY 11106
Physical Therapist
2529 BROADWAY
ASTORIA, NY 11106
Physical Therapist
2529 BROADWAY
ASTORIA, NY 11106

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 Mia Connolly's NPI number?

The NPI number for Mia Connolly is 1770458325. It was assigned to this individual provider in the NPPES registry on October 6, 2025.

Where is Mia Connolly located?

Mia Connolly practices at 2529 Broadway, Astoria, NY 11106. The listed phone number is (646) 347-0060.

What is Mia Connolly's specialty?

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

Is Mia Connolly enrolled in Medicare?

Yes. Mia Connolly 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.

When was this NPI record last updated?

The NPPES record for Mia Connolly was last updated on July 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 29 days 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.