Individual provider Active NPI

Maureen Furey Hryvniak, OT

  • Occupational Therapist
  • Rochester, NY
National Provider Identifier
1104193382
Registry record updated Feb 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
018089-1 Issued in NY
Practice address
1000 Elmwood Ave Ste 100
Rochester, NY 14620
Phone
(585) 271-0761
NPI assigned
Nov 16, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 0119005100 VA
Occupational Therapist 225X00000X 018089-1 NY Primary

Addresses

Primary practice location

1000 Elmwood Ave Ste 100
Rochester, NY 14620

Mailing address

184 Maywood Dr
Rochester, NY 14618-4306
Phone (703) 577-1664

Other practice location 1

2924 Brook Road
Children's Hospital
Richmond, VA 23220-1298
Phone (804) 321-7474 ext. 5966

Other identifiers 1

IdentifierTypeStateIssuer
004909976MedicaidVA

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
018089-1NYMDOccupational Therapist
0119005100VAMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1321401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549324800000",
    "number": "1104193382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "184 MAYWOOD DR",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146184306",
            "telephone_number": "703-577-1664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 ELMWOOD AVE STE 100",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "14620",
            "telephone_number": "585-271-0761"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2924 Brook Road",
            "address_2": "Children's Hospital",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "VA",
            "postal_code": "232201298",
            "country_code": "US",
            "telephone_number": "804-321-7474 x5966",
            "fax_number": "804-228-5210",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HRYVNIAK",
        "first_name": "MAUREEN",
        "middle_name": "FUREY",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-11-16",
        "last_updated": "2019-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "VA",
            "license": "0119005100",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "018089-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004909976",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2019; 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.