Provider Demographics
NPI:1326465618
Name:FORCELLO, NINA THERESA (MS, OTR)
Entity type:Individual
Prefix:
First Name:NINA
Middle Name:THERESA
Last Name:FORCELLO
Suffix:
Gender:F
Credentials:MS, OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:76 ORCHARD AVE
Mailing Address - Street 2:
Mailing Address - City:RYE
Mailing Address - State:NY
Mailing Address - Zip Code:10580-2806
Mailing Address - Country:US
Mailing Address - Phone:914-494-2448
Mailing Address - Fax:
Practice Address - Street 1:150 PURCHASE ST STE 9
Practice Address - Street 2:
Practice Address - City:RYE
Practice Address - State:NY
Practice Address - Zip Code:10580-2143
Practice Address - Country:US
Practice Address - Phone:914-921-2600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-03-25
Last Update Date:2025-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYP92449225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist