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

Individual provider Occupational Therapist · NPI 1679789929

Nikki M Dematteo, OT, CHT is an Occupational Therapist in Private Practice in East Patchogue, New York. Qualified in 1997, 29 years ago. Practices with Latitude Physical Therapy, a 6-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
29
Licensed in
NY
In the registry since
2007
What do these letters mean?
OT — Occupational Therapist
Helps people regain the skills needed for daily living and work.
CHT — Certified Hand Therapist
An occupational or physical therapist with advanced certification in hand and upper-limb rehabilitation.

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Practice location Address checks out

240 Patchogue Yaphank Rd SUITE101
East Patchogue, NY 11772-4868
Phone: (631) 438-0515
Fax: (631) 438-0516
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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 008249 (NY)

Record details

NPI number1679789929
Entity typeIndividual (Type 1)
GenderFemale
Credentials OT , CHT
Sole proprietorNo
NPI enumeratedMay 15, 2007
Last updated in NPPESOctober 31, 2013

Medicare enrollment

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

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1997 (29 years in practice)
Group practice Latitude Physical Therapy — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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