Active NPI
Vivian Ly
- Occupational Therapist
- Cherry Hill,, NJ
National Provider Identifier
1306053178
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OC008588
- Practice address
- 1415 Route 70 East
Suite 103
Cherry Hill,, NJ 08034 - Phone
- (180) 067-0389
- NPI assigned
- May 17, 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 | OC008588 | PA | Primary |
Addresses
Primary practice location
1415 Route 70 East
Suite 103
Cherry Hill,, NJ 08034
Mailing address
105 Castle Dr
North Wales, PA 19454-1842
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20251218001460 | PA | Practitioner - Occupational Therapist in Private Practice | 9436644341 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
102 Woodland Dr
Lansdale, PA 19446-1418
Phone (267) 991-6040
1121 Bethlehem Pike
Suite 10
Spring House, PA 19477-1102
Phone (267) 642-1642
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OC008588 | PA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Namaste Rehab Clinics LLC | Current | Accepting new patients | |
| Namaste Rehab LLC | Current | Accepting new patients |
Locations
1121 Bethlehem Pike
Ste 10
Spring House, PA 19477
Phone (267) 642-1642
Organizations & group practices 2
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179360000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1306053178",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "105 CASTLE DR",
"city": "NORTH WALES",
"state": "PA",
"postal_code": "194541842"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1415 ROUTE 70 EAST",
"address_2": "SUITE 103",
"city": "CHERRY HILL,",
"state": "NJ",
"postal_code": "08034",
"telephone_number": "180-067-0389"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LY",
"first_name": "VIVIAN",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-17",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "PA",
"license": "OC008588",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cherry Hill,, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.