Ivy Marie Hayward, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OC011914 Issued in PA

Practice address

40 Lenape Rd
Richboro, PA 18954-1220

Phone

(215) 394-5104

NPI assigned

Jul 19, 2011

Last updated

Mar 17, 2018By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1311033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1316235708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 MILL CREEK RD APT G2",
            "city": "ARDMORE",
            "state": "PA",
            "postal_code": "190031535",
            "telephone_number": "973-978-3955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 LENAPE RD",
            "city": "RICHBORO",
            "state": "PA",
            "postal_code": "189541220",
            "telephone_number": "215-394-5104"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3201 Cheltenham Ave",
            "address_purpose": "LOCATION",
            "city": "Wyncote",
            "state": "PA",
            "postal_code": "190952900",
            "country_code": "US",
            "telephone_number": "215-517-7551",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAYWARD",
        "first_name": "IVY",
        "middle_name": "MARIE",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-19",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "PA",
            "license": "OC011914",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Occupational Therapist in Richboro, PA
• Providers in Richboro, PA by specialty
• Occupational Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.