Individual provider Active NPI

Laura Elaine Kevlin, M.S. OTR/L

  • Occupational Therapist
  • New York, NY
National Provider Identifier
1487984928
Registry record updated Jan 6, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
63015936 Issued in NY
Practice address
320 E 65TH St
Suite 117
New York, NY 10065-6743
Phone
(212) 249-2588
NPI assigned
Jan 6, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 63015936 NY Primary

Addresses

Primary practice location

320 E 65TH St
Suite 117
New York, NY 10065-6743

Mailing address

320 E 65TH St
Suite 117
New York, NY 10065-6743
Phone (212) 249-2588

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
63015936NYMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Making Milestones Past Accepting new patients
Lori Golden Ma-CCC, SLP & Robin Bump, PT PLLC Past Accepting new patients

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": "1262736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1262736000000",
    "number": "1487984928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 E 65TH ST",
            "address_2": "SUITE 117",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100656743",
            "telephone_number": "212-249-2588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 E 65TH ST",
            "address_2": "SUITE 117",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100656743",
            "telephone_number": "212-249-2588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEVLIN",
        "first_name": "LAURA",
        "middle_name": "ELAINE",
        "name_prefix": "Ms.",
        "credential": "M.S. OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-01-06",
        "last_updated": "2010-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "63015936",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2010; 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.