Active NPI
Susan Oliveri, OT
- Occupational Therapist
- Victor, NY
National Provider Identifier
1285843854
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 002044-1
- Practice address
- 590 Fishers Station Dr
Suite 130
Victor, NY 14564 - Phone
- (585) 924-7207
- NPI assigned
- May 21, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 | 002044-1 | NY | Primary |
Addresses
Primary practice location
590 Fishers Station Dr
Suite 130
Victor, NY 14564
Mailing address
1195 Severn Ridge Rd
Webster, NY 14580-9144
Phone (585) 217-1919
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 |
|---|---|---|---|
| 002044-1 | NY | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Western New York Speech-Language Pathology, OT, and PT Consultants | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Early Intervention Provider Agency
- Victor, NY
- NPI 1386812550
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179705600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1379289600000",
"number": "1285843854",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1195 SEVERN RIDGE RD",
"city": "WEBSTER",
"state": "NY",
"postal_code": "145809144",
"telephone_number": "585-217-1919"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "590 FISHERS STATION DR",
"address_2": "SUITE 130",
"city": "VICTOR",
"state": "NY",
"postal_code": "14564",
"telephone_number": "585-924-7207"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLIVERI",
"first_name": "SUSAN",
"credential": "OT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-21",
"last_updated": "2013-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NY",
"license": "002044-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Victor, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.