Provider Demographics
NPI:1245368463
Name:MARIANI, MATTHEW (OTR,BS)
Entity type:Individual
Prefix:MR
First Name:MATTHEW
Middle Name:
Last Name:MARIANI
Suffix:
Gender:M
Credentials:OTR,BS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:115 MAIN ST
Mailing Address - Street 2:SUITE#202 2ND FLOOR
Mailing Address - City:TUCKAHOE
Mailing Address - State:NY
Mailing Address - Zip Code:10707-2948
Mailing Address - Country:US
Mailing Address - Phone:914-961-1010
Mailing Address - Fax:914-961-1011
Practice Address - Street 1:115 MAIN ST
Practice Address - Street 2:SUITE#202
Practice Address - City:TUCKAHOE
Practice Address - State:NY
Practice Address - Zip Code:10707-2948
Practice Address - Country:US
Practice Address - Phone:914-961-1010
Practice Address - Fax:914-961-1011
Is Sole Proprietor?:No
Enumeration Date:2007-03-01
Last Update Date:2023-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ46TR01128100225X00000X
NY0083021225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY0401995OtherAETNA/ORTHONET TUCKAHOE
NY2343974OtherHUMANA
NY264524354OtherFPN MULTIPLAN/DME
NY272438120OtherHUDSON VALLEY HEALTH PLANS
NY02584178Medicaid
NY1251OtherAMIDACARE-GROUP
NY1372776OtherCIGNA HEALTH PLANS-FACILITY
NY272438120OtherPOMCO COMMERCIAL INSURANCE LINES
CT0401997OtherUS FAMILY/ORTHONET MCLEAN AVENUE
NY10494309OtherCAQH
NY01828702OtherAMERIGROUP MEDICAID
NY0401997OtherAETNA/ORTHONET-MCLEAN AVENUE
NY1016396OtherNBCOT-NATIONAL BOARD CERTIFICATION OCCUPATIONAL THERAPY, INC
NY1245368463-01OtherHHC CHOICES GOLD HEALTH PLAN
NY201116700038OtherAFFINITY HEALTH PLAN
NY2343974OtherHUMANA DME
NY264524354OtherPOMCO DME
NY786980OtherOPTUM HEATH PT-FACILITY
NY828451OtherOPTUM HEALTH PT/OXFORD HEALTH-CHILD/FREEDOM/FAMILY HEALTH/LIBERTY
NYQ54981OtherEMPIRE BCBS
NY01828702OtherAMERIGROUP HEALTH PLAN(S)
NY0401995OtherCIGNA/ORHTONET- TUCKAHOE
NY0401997OtherCIGNA/ORTHONET-MCLEAN AVENUE
NY786980OtherUNITED HEALTHCARE PLANS FACILITY
NY272438120OtherFPN MULTIPLAN
NY272438120OtherMAGNACARE HEALTH PLANS LOCAL UNIONS IN NY STATE
NY272438120OtherAGEWELL OF NY
NY64519002OtherRAILROAD MEDICARE-DME
NY7056591OtherAETNA HEALTH PLAN LOCAL 1199
NY0401995OtherUS FAMILY/ORTHONET TUCKAHOE
NY272438129-001OtherHEALTHFIRST MEDICARE/COMPLETE MEDICARE/COMMERCIAL HEALTH PLANS
NY3017733OtherMVP HEALTH PLANS
NY0401997OtherCIGNA/ORTHONET-MCLEAN AVENUE