Active NPI
Monica Schiefen Van Fleet, MS
- Occupational Therapist
- Ithaca, NY
National Provider Identifier
1225876618
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- P129705
- Practice address
- 101 Dates Dr
Ithaca, NY 14850-1383 - Phone
- (607) 274-4554
- NPI assigned
- Jul 18, 2024
- 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 | P129705 | NY | Primary |
Addresses
Primary practice location
101 Dates Dr
Ithaca, NY 14850-1383
Mailing address
166 Lexington Dr
Ithaca, NY 14850-1719
Phone (607) 229-9125
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241015003156 | NY | Practitioner - Occupational Therapist in Private Practice | 5395277362 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 029466 | NY | MD | Occupational Therapist |
| P129705 | NY | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1721260800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721260800000",
"number": "1225876618",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "166 LEXINGTON DR",
"city": "ITHACA",
"state": "NY",
"postal_code": "148501719",
"telephone_number": "607-229-9125"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 DATES DR",
"city": "ITHACA",
"state": "NY",
"postal_code": "148501383",
"telephone_number": "607-274-4554"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VAN FLEET",
"first_name": "MONICA",
"middle_name": "SCHIEFEN",
"credential": "MS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-07-18",
"last_updated": "2024-07-18",
"certification_date": "2024-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NY",
"license": "P129705",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ithaca, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.