Individual provider Active NPI

Keri Ann Lavish, OTR/L

  • Occupational Therapist
  • North Adams, MA
National Provider Identifier
1154054120
Registry record updated Oct 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OTL37009 Issued in MA
Practice address
175 Franklin St
North Adams, MA 01247-2712
Phone
(413) 664-4041
NPI assigned
Jul 6, 2022
Last updated
Oct 16, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2026

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 OTL37009 MA Primary
Occupational Therapist 225X00000X 5431 CT

Addresses

Primary practice location

175 Franklin St
North Adams, MA 01247-2712

Mailing address

1263 Stafford Ave
Bristol, CT 06010-2869
Phone (203) 819-3208

Other practice location 1

1660 Stafford Ave
Bristol, CT 06010-2571
Phone (860) 583-8384

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

NPI Registry JSON

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

{
    "created_epoch": "1657065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1792108800000",
    "number": "1154054120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1263 STAFFORD AVE",
            "city": "BRISTOL",
            "state": "CT",
            "postal_code": "060102869",
            "telephone_number": "203-819-3208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 FRANKLIN ST",
            "city": "NORTH ADAMS",
            "state": "MA",
            "postal_code": "012472712",
            "telephone_number": "413-664-4041"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1660 Stafford Ave",
            "address_purpose": "LOCATION",
            "city": "Bristol",
            "state": "CT",
            "postal_code": "060102571",
            "country_code": "US",
            "telephone_number": "860-583-8384",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAVISH",
        "first_name": "KERI",
        "middle_name": "ANN",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-06",
        "last_updated": "2026-10-16",
        "certification_date": "2026-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MA",
            "license": "OTL37009",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CT",
            "license": "5431",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Adams, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2026; 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.