Active NPI
Lily Nelson, OTR/L
- Occupational Therapist
- Auburn, NY
National Provider Identifier
1134828320
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 027501
- Practice address
- 78 Thornton Ave
Auburn, NY 13021-4655 - Phone
- (315) 255-8800
- NPI assigned
- Feb 27, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 027501 | NY | Primary |
Addresses
Primary practice location
78 Thornton Ave
Auburn, NY 13021-4655
Mailing address
PO Box 1149
Moravia, NY 13118-1149
Phone (315) 364-7570
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 |
|---|---|---|---|
| 027501 | NY | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1677456000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1677456000000",
"number": "1134828320",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1149",
"city": "MORAVIA",
"state": "NY",
"postal_code": "131181149",
"telephone_number": "315-364-7570"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "78 THORNTON AVE",
"city": "AUBURN",
"state": "NY",
"postal_code": "130214655",
"telephone_number": "315-255-8800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NELSON",
"first_name": "LILY",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-02-27",
"last_updated": "2023-02-27",
"certification_date": "2023-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NY",
"license": "027501",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Auburn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.