Mary Katherine Lannon, OTA
Individual provider Active NPI Occupational Therapy Assistant · Skaneateles, NY
NPI 1083868079 · NPPES record last updated Nov 4, 2008
Key facts
- NPI
- 1083868079
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapy Assistant 224Z00000X
- License
- 002100-1 (NY)
- Practice address
- 22 E Lake St
Skaneateles, NY 13152-1305 - Phone
- (315) 685-7928
- NPI assigned
- Nov 4, 2008
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 002100-1 | NY | MD | Occupational Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Therapy Partners in OT, PT, and Speech-Language Pathology, PLLC | Past | Accepting new patients | |
| Therapy Partners in OT,PT and Speech Language Pathology PLLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 002100-1 | NY | Yes |
Addresses
Primary practice location
22 E Lake St
Skaneateles, NY 13152-1305
Mailing address
201 Clark LN
Camillus, NY 13031-2409
Phone (315) 488-4342
Other providers in Skaneateles, NY
- Kimball T Kraus
- Jessica A. Kulis-Sigona
- Lakeside Counseling Jill Boyer LCSW
- Laura L Lang
- Julia Langer
- Jacquelyn Leslie
- Ellen Arnold Libertini
- David P Locastro
- Allison Meredith Loi
- Peter Gard Lorey
All providers in Skaneateles, NY · Occupational Therapy Assistant in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 4, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.