Active NPI
Kelly Leigh Irving, MS, OTR/L
- Occupational Therapist
- Monticello, NY
National Provider Identifier
1245321017
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 013977-1
- Practice address
- 606 Old Route 17
Monticello, NY 12701-7013 - Phone
- (845) 794-1400
- NPI assigned
- Sep 27, 2006
- 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 | 013977-1 | NY | Primary |
Addresses
Primary practice location
606 Old Route 17
Monticello, NY 12701-7013
Mailing address
35 Westbourne Dr
Apt #14
Woodbourne, NY 12788-5203
Phone (845) 901-1999
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)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 013977-1 | NY | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159315200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1280707200000",
"number": "1245321017",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "35 WESTBOURNE DR",
"address_2": "APT #14",
"city": "WOODBOURNE",
"state": "NY",
"postal_code": "127885203",
"telephone_number": "845-901-1999"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "606 OLD ROUTE 17",
"city": "MONTICELLO",
"state": "NY",
"postal_code": "127017013",
"telephone_number": "845-794-1400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IRVING",
"first_name": "KELLY",
"middle_name": "LEIGH",
"credential": "MS, OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-27",
"last_updated": "2010-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NY",
"license": "013977-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Monticello, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.