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

Mr. Nicholas Roger Obidienzo III, OTR/L

Individual provider Pediatric Occupational Therapist · NPI 1689021859

Mr. Nicholas Roger Obidienzo III, OTR/L is a Pediatric Occupational Therapist in Whitestone, New York. Licensed in New York. Registered with an NPI since 2016.

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.

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Practice location Address checks out

15050 14th Rd
Whitestone, NY 11357-2609
Phone: (718) 767-0091
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Occupational Therapist (primary) Taxonomy 225XP0200X · Licence 020456-1 (NY)

Record details

NPI number1689021859
Entity typeIndividual (Type 1)
GenderMale
Credentials OTR/L
Sole proprietorNo
NPI enumeratedMay 18, 2016
Last updated in NPPESMay 18, 2016

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