Kelly Wynne Tabor, BS, MSOT, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

024517 Issued in NY

Practice address

144 Todd Hill Rd
Lagrangeville, NY 12540-5916

Phone

(845) 350-4071

NPI assigned

Apr 3, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Science

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

{
    "created_epoch": "1585872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678406400000",
    "number": "1144859042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "429 GAGE RD",
            "city": "BREWSTER",
            "state": "NY",
            "postal_code": "105095007",
            "telephone_number": "845-787-7262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "144 TODD HILL RD",
            "city": "LAGRANGEVILLE",
            "state": "NY",
            "postal_code": "125405916",
            "telephone_number": "845-350-4071"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "167 Myers Corners Rd # 202",
            "address_purpose": "LOCATION",
            "city": "Wappingers Falls",
            "state": "NY",
            "postal_code": "125903869",
            "country_code": "US",
            "telephone_number": "845-485-9803",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TABOR",
        "first_name": "KELLY",
        "middle_name": "WYNNE",
        "name_prefix": "Mrs.",
        "credential": "BS, MSOT, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-03",
        "last_updated": "2023-03-10",
        "certification_date": "2023-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "024517",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aliza Stitsky, RD
• Joseph Streva
• Sureride Services, LLC
• Martha R Suzuki
• Cindy Lynn Sweet
• Tops Markets LLC
• Tops Markets LLC
• Valley Urgent Care
• Melissa Vasti
• Rolande Victorin

• Occupational Therapist in Lagrangeville, NY
• Providers in Lagrangeville, 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 Mar 10, 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.

Verify at the official NPI Registry.