Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mya Pauline Pennisi, MS, OTR/L

Individual provider Occupational Therapist · NPI 1851148779

Mya Pauline Pennisi, MS, OTR/L is an Occupational Therapist in Staten Island, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2024
What do these letters mean?
MS — Master of Science
A graduate science degree.
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

3391 Richmond Ave
Staten Island, NY 10312-2025
Phone: (718) 608-9170
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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 029103 (NY)

Record details

NPI number1851148779
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS , OTR/L
Sole proprietorYes
NPI enumeratedApril 30, 2024
Last updated in NPPESJune 23, 2024
Certification dateJune 23, 2024

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