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

Mr. Domenic F. D'Achille, CTRS

Individual provider Recreation Therapist · NPI 1770599565

Mr. Domenic F. D'Achille, CTRS is a Recreation Therapist in Northport, New York. Licensed in New York. Registered with an NPI since 2006.

Licensed in
NY
In the registry since
2006

Practice location Address checks out

79 Middleville Rd
Northport, NY 11768
Phone: (631) 261-4400
Fax: (631) 266-6099
Show map & directions

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

Specialties & licences

Recreation Therapist (primary) Taxonomy 225800000X · Licence 13264 (NY)

Record details

NPI number1770599565
Entity typeIndividual (Type 1)
GenderMale
Credentials CTRS
Sole proprietorNo
NPI enumeratedJuly 31, 2006
Last updated in NPPESJuly 8, 2007

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