Carissa Elizabeth O'Rourke, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

022768 Issued in NY

Practice address

413 Bay Rd
Queensbury, NY 12804-1408

Phone

(518) 761-2025

NPI assigned

Aug 15, 2018

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

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": "1534291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638144000000",
    "number": "1285114769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 E TREMONT ST",
            "city": "GLENS FALLS",
            "state": "NY",
            "postal_code": "128014649",
            "telephone_number": "518-538-0044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "413 BAY RD",
            "city": "QUEENSBURY",
            "state": "NY",
            "postal_code": "128041408",
            "telephone_number": "518-761-2025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'ROURKE",
        "first_name": "CARISSA",
        "middle_name": "ELIZABETH",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-15",
        "last_updated": "2021-11-29",
        "certification_date": "2021-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "022768",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Helen Margaret Nutt, FNP-C
• Lauren Alexis O'Connor
• Shannon L O'Hara, PT
• O'Leary Chiropractic, PLLC
• Michael J. O'Leary, D.C., C.C.S. P.
• Diane Ohanlon, LCSW-R
• Megan Oldenburger
• Shana Olson-Laake, RN
• James E Omohundro, MD
• Cristiana Dato Opp, BSN, RN

• Occupational Therapist in Queensbury, NY
• Providers in Queensbury, 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 Nov 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.