Provider Demographics
NPI:1770764755
Name:CLASIO, SHEILA OCCIANO (PT)
Entity type:Individual
Prefix:
First Name:SHEILA
Middle Name:OCCIANO
Last Name:CLASIO
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 BRIDGE ST
Mailing Address - Street 2:
Mailing Address - City:ARDSLEY
Mailing Address - State:NY
Mailing Address - Zip Code:10502-2136
Mailing Address - Country:US
Mailing Address - Phone:914-693-8787
Mailing Address - Fax:914-693-8525
Practice Address - Street 1:174 GRAND ST
Practice Address - Street 2:
Practice Address - City:WHITE PLAINS
Practice Address - State:NY
Practice Address - Zip Code:10601-4803
Practice Address - Country:US
Practice Address - Phone:914-328-8077
Practice Address - Fax:914-328-6083
Is Sole Proprietor?:No
Enumeration Date:2007-11-19
Last Update Date:2012-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY027894225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYA400045035Medicare PIN
NYA400045102Medicare PIN
NYQ587438171Medicare PIN
NYA400073839Medicare PIN
NYG400076789Medicare PIN