Provider Demographics
NPI:1740079151
Name:DEMEO, GIANNA NICOLE (OTR/L)
Entity type:Individual
Prefix:
First Name:GIANNA
Middle Name:NICOLE
Last Name:DEMEO
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:233 E 14TH ST APT 2
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10003-4113
Mailing Address - Country:US
Mailing Address - Phone:862-221-1250
Mailing Address - Fax:
Practice Address - Street 1:314 E 110TH ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10029-3002
Practice Address - Country:US
Practice Address - Phone:212-289-4872
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-02
Last Update Date:2025-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ46TR01229900225X00000X
NY030050225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist