Active NPI
Kathleen Marie Diverio, OTR/L
- Occupational Therapist
- Yonkers, NY
National Provider Identifier
1013784081
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 028558-01
- Practice address
- 300 Corporate Blvd S
Yonkers, NY 10701-6862 - Phone
- (914) 294-6289
- NPI assigned
- Dec 8, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 46TR01156400 | NJ | |
| Occupational Therapist | 225X00000X | 028558-01 | NY | Primary |
Addresses
Primary practice location
300 Corporate Blvd S
Yonkers, NY 10701-6862
Mailing address
144 Morton Dr
Ramsey, NJ 07446-2517
Phone (201) 749-7098
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 46TR01156400 | NJ | MD | Occupational Therapist |
| 028558-01 | NY | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1701993600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707350400000",
"number": "1013784081",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "144 MORTON DR",
"city": "RAMSEY",
"state": "NJ",
"postal_code": "074462517",
"telephone_number": "201-749-7098"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 CORPORATE BLVD S",
"city": "YONKERS",
"state": "NY",
"postal_code": "107016862",
"telephone_number": "914-294-6289"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIVERIO",
"first_name": "KATHLEEN",
"middle_name": "MARIE",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-12-08",
"last_updated": "2024-02-08",
"certification_date": "2024-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NJ",
"license": "46TR01156400",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NY",
"license": "028558-01",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Yonkers, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.