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

Mark Guzman, OTR/L

Individual provider Occupational Therapist · NPI 1003265620

Mark Guzman, OTR/L is an Occupational Therapist in Private Practice in Great Neck, New York. Qualified in 1998, 28 years ago. Practices with Provident Physical and Occupational Therapy PLLC, a 2-clinician group and works from 2 locations. Licensed in New York.

Years since qualifying
28
Licensed in
NY
In the registry since
2016
What do these letters mean?
OTR/L — Occupational Therapist, Registered and Licensed
An occupational therapist who is both nationally registered and state licensed.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

475 Northern Blvd Ste 19
Great Neck, NY 11021-4802
Phone: (516) 829-0030
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4 Raleigh Ln, Kings Park, NY 11754-4418 — (516) 435-8513

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 009077 (NY)

Record details

NPI number1003265620
Entity typeIndividual (Type 1)
GenderMale
Credentials OTR/L
Sole proprietorYes
NPI enumeratedJune 4, 2016
Last updated in NPPESApril 5, 2023
Certification dateApril 5, 2023
Mailing address4 Raleigh Ln, Kings Park, NY 11754-4418

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1998 (28 years in practice)
Group practice Provident Physical And Occupational Therapy Pllc — 2 clinicians
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Other providers in Great Neck