Katharine Aderounmu, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

0706186 Issued in NY

Practice address

430 W State St
Ithaca, NY 14850-5278

Phone

(607) 437-0141

NPI assigned

Sep 30, 2019

Last updated

Oct 29, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Katharine Dovi Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1569801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635465600000",
    "number": "1265073332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 CHESTNUT ST",
            "city": "CORTLAND",
            "state": "NY",
            "postal_code": "130451720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 W STATE ST",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "148505278",
            "telephone_number": "607-437-0141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADEROUNMU",
        "first_name": "KATHARINE",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-30",
        "last_updated": "2021-10-29",
        "certification_date": "2021-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "0706186",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Epic",
            "affiliation": "N",
            "address_1": "750 E Adams St",
            "city": "Syracuse",
            "state": "NY",
            "country_code": "US",
            "postal_code": "132101834",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "KATHARINE",
            "last_name": "DOVI",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Occupational Therapist in Ithaca, NY
• Providers in Ithaca, NY by specialty
• Occupational Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2021; 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.