Active NPI
David R Connors, OTR/L
- Occupational Therapist
- Syracuse, NY
National Provider Identifier
1124470679
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 020665-1
- Practice address
- 110 Elwood Davis Rd
Syracuse, NY 13212-4331 - Phone
- (315) 433-2600
- NPI assigned
- Jul 8, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 020665-1 | NY | Primary |
Addresses
Primary practice location
110 Elwood Davis Rd
Syracuse, NY 13212-4331
Mailing address
401 Academy PL
Syracuse, NY 13207-2808
Phone (315) 481-3422
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 |
|---|---|---|---|
| 020665-1 | NY | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1467936000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1467936000000",
"number": "1124470679",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "401 ACADEMY PL",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "132072808",
"telephone_number": "315-481-3422"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 ELWOOD DAVIS RD",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "132124331",
"telephone_number": "315-433-2600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONNORS",
"first_name": "DAVID",
"middle_name": "R",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-07-08",
"last_updated": "2016-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NY",
"license": "020665-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Syracuse, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.