Active NPI
Karen Anne McIvor, OTR/L
- Pediatric Occupational Therapist
- Spring Valley, NY
National Provider Identifier
1235375304
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- 005336-1
- Practice address
- 25 Tammy Rd
Spring Valley, NY 10977-1337 - Phone
- (845) 596-4974
- Fax
- (845) 627-5313
- NPI assigned
- Dec 19, 2008
- 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 |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | 005336-1 | NY | Primary |
Addresses
Primary practice location
25 Tammy Rd
Spring Valley, NY 10977-1337
Mailing address
21 Foxcroft Dr
Nanuet, NY 10954-1212
Phone (845) 627-5313
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
| License | State | Type | Specialty |
|---|---|---|---|
| 005336-1 | NY | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1229644800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1229644800000",
"number": "1235375304",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21 FOXCROFT DR",
"city": "NANUET",
"state": "NY",
"postal_code": "109541212",
"telephone_number": "845-627-5313",
"fax_number": "845-627-5313"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25 TAMMY RD",
"city": "SPRING VALLEY",
"state": "NY",
"postal_code": "109771337",
"telephone_number": "845-596-4974",
"fax_number": "845-627-5313"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCIVOR",
"first_name": "KAREN",
"middle_name": "ANNE",
"name_prefix": "Mrs.",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-12-19",
"last_updated": "2008-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "NY",
"license": "005336-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Spring Valley, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.