Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. John Anthony Ippolito, OTD, OTR/L

Individual provider Occupational Therapist · NPI 1164972709

Dr. John Anthony Ippolito, OTD, OTR/L is an Occupational Therapist in Staten Island, New York. Licensed in New Jersey and New York. Registered with an NPI since 2016.

Licensed in
NJ, NY
In the registry since
2016
Specialties on file
2
What do these letters mean?
OTD — Doctor of Occupational Therapy
The doctoral degree in occupational therapy.
OTR/L — Occupational Therapist, Registered and Licensed
An occupational therapist who is both nationally registered and state licensed.

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Practice location Address checks out

20 Balsam Pl
Staten Island, NY 10309-1617
Phone: (917) 680-8162
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 46TR00588400 (NJ)
Occupational Therapist Taxonomy 225X00000X · Licence 63017424 (NY)

Record details

NPI number1164972709
Entity typeIndividual (Type 1)
GenderMale
Credentials OTD , OTR/L
Sole proprietorNo
NPI enumeratedOctober 6, 2016
Last updated in NPPESOctober 6, 2016

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