Individual provider Active NPI

Ivey Lowenfeld Sedrish, OTR

  • Occupational Therapist
  • Valley Stream, NY
National Provider Identifier
1033364807
Registry record updated Nov 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
002738-1 Issued in NY
Practice address
965 Hewlett Dr
Valley Stream, NY 11581-2707
Phone
(516) 791-1880
NPI assigned
Nov 20, 2008
Last updated
Nov 20, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 002738-1 NY Primary

Addresses

Primary practice location

965 Hewlett Dr
Valley Stream, NY 11581-2707

Mailing address

965 Hewlett Dr
Valley Stream, NY 11581-2707
Phone (516) 791-1880

Other names 1

  • Ivey Beth Lowenfeld Former name

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

LicenseStateTypeSpecialty
002738-1NYMDAthletic Trainer

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1227139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1227139200000",
    "number": "1033364807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "965 HEWLETT DR",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115812707",
            "telephone_number": "516-791-1880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "965 HEWLETT DR",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115812707",
            "telephone_number": "516-791-1880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEDRISH",
        "first_name": "IVEY",
        "middle_name": "LOWENFELD",
        "name_prefix": "Ms.",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-20",
        "last_updated": "2008-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "002738-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "IVEY",
            "last_name": "LOWENFELD",
            "middle_name": "BETH",
            "credential": "O.T.R",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Valley Stream, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.