Individual provider Active NPI

Alison Kathleen Iamiceli, OTR/L

  • Pediatric Occupational Therapist
  • Hawthorne, NY
National Provider Identifier
1194058941
Registry record updated Aug 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
63 015815 Issued in NY
Practice address
1 Skyline Dr
Suite 298
Hawthorne, NY 10532-2157
Phone
(914) 347-5990
Fax
(914) 347-5236
NPI assigned
Sep 11, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X 63 015815 NY Primary

Addresses

Primary practice location

1 Skyline Dr
Suite 298
Hawthorne, NY 10532-2157

Mailing address

1 Skyline Dr
Suite 298
Hawthorne, NY 10532-2157
Phone (914) 347-5990

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

LicenseStateTypeSpecialty
63 015815NYMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Kidabilities LLC Pediatrics Past Accepting new patients
Kidabilities, LLC Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1252627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1345075200000",
    "number": "1194058941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 SKYLINE DR",
            "address_2": "SUITE 298",
            "city": "HAWTHORNE",
            "state": "NY",
            "postal_code": "105322157",
            "telephone_number": "914-347-5990",
            "fax_number": "914-347-5236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 SKYLINE DR",
            "address_2": "SUITE 298",
            "city": "HAWTHORNE",
            "state": "NY",
            "postal_code": "105322157",
            "telephone_number": "914-347-5990",
            "fax_number": "914-347-5236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IAMICELI",
        "first_name": "ALISON",
        "middle_name": "KATHLEEN",
        "name_prefix": "Mrs.",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-11",
        "last_updated": "2012-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NY",
            "license": "63 015815",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hawthorne, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2012; 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.