Active NPI
Katelyn R Spahn, OTR/L
- Occupational Therapist
- Tarrytown, NY
National Provider Identifier
1558073288
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 024550
- Practice address
- 50 Ichabod LN
Tarrytown, NY 10591-3715 - Phone
- (914) 366-2560
- NPI assigned
- Dec 13, 2022
- Sex
- Female
- Sole proprietor
- No
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 | 024550 | NY | Primary |
Addresses
Primary practice location
50 Ichabod LN
Tarrytown, NY 10591-3715
Mailing address
82 Livingston St
Tappan, NY 10983-2408
Phone (914) 572-5638
Other practice location 1
1606 Old Orchard St
White Plains, NY 10604-1049
Phone (914) 948-7271
Other names 1
- Ms. Katelyn R Mulqueen
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | IEPDirect | Direct | Southern Westchester Boces |
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 |
|---|---|---|---|
| 024550 | NY | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1670889600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1670889600000",
"number": "1558073288",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "82 LIVINGSTON ST",
"city": "TAPPAN",
"state": "NY",
"postal_code": "109832408",
"telephone_number": "914-572-5638"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "50 ICHABOD LN",
"city": "TARRYTOWN",
"state": "NY",
"postal_code": "105913715",
"telephone_number": "914-366-2560"
}
],
"practiceLocations": [
{
"address_1": "1606 Old Orchard St",
"address_purpose": "LOCATION",
"city": "White Plains",
"state": "NY",
"postal_code": "106041049",
"country_code": "US",
"telephone_number": "914-948-7271",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SPAHN",
"first_name": "KATELYN",
"middle_name": "R",
"name_prefix": "Mrs.",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-12-13",
"last_updated": "2022-12-13",
"certification_date": "2022-12-13",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NY",
"license": "024550",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "IEPDirect",
"affiliation": "Y",
"affiliationName": "Southern Westchester Boces",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "IEPDirect",
"address_1": "17 Berkley Dr",
"city": "Rye Brook",
"state": "NY",
"country_code": "US",
"postal_code": "105731422",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "KATELYN",
"last_name": "MULQUEEN",
"middle_name": "R",
"prefix": "MS.",
"credential": "OTR/L",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Tarrytown, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.