Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Interactive Creative Therapy Inc

Organization Occupational Therapist · NPI 1316577307

Interactive Creative Therapy Inc is an Occupational Therapist in Deer Park, New York. Registered with an NPI since 2020.

In the registry since
2020
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

18 W 21st St
Deer Park, NY 11729-3918
Phone: (631) 306-4053
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X
Speech-Language Pathologist Taxonomy 235Z00000X

Record details

NPI number1316577307
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Dechantal Montano — President · (580) 402-6704
NPI enumeratedJanuary 19, 2020
Last updated in NPPESJanuary 19, 2020
Certification dateJanuary 19, 2020
Mailing address25 Massachusetts Ave, Port Jefferson Station, NY 11776-6101

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