Ryan Thomas Mavretish, MSOT. OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Practice address

1259 Fisher Ave
Cortland, NY 13045-1012

Phone

(607) 753-6000

NPI assigned

Nov 12, 2021

Last updated

Nov 12, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1636675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636675200000",
    "number": "1134885254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 GUTHRIE SQ",
            "city": "SAYRE",
            "state": "PA",
            "postal_code": "188401625",
            "telephone_number": "570-888-5858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1259 FISHER AVE",
            "city": "CORTLAND",
            "state": "NY",
            "postal_code": "130451012",
            "telephone_number": "607-753-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAVRETISH",
        "first_name": "RYAN",
        "middle_name": "THOMAS",
        "credential": "MSOT. OTR/L",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-11-12",
        "last_updated": "2021-11-12",
        "certification_date": "2021-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "XXXXXX@direct-guthrie.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1259 Fisher Ave",
            "city": "Cortland",
            "state": "NY",
            "country_code": "US",
            "postal_code": "130451012",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Lyndsey Masters, LMHC
• Matthew J Dentes, D.D.S., P.C.
• Rue Semper Mattox
• Teri Kelly Mauler, OTRL
• Maryanne Mavica
• Jenna Maxson, RN
• Laura K May
• Bradley Scott Mayberry, OTR
• Mayo Medical PC
• Terrance Benn Mays, RN

• Occupational Therapist in Cortland, NY
• Providers in Cortland, NY by specialty
• Occupational Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2021; 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.