Active NPI
Aviva Kahn
- Occupational Therapist
- Catonsville, MD
National Provider Identifier
1558900043
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 09077
- Practice address
- 2300 Old Frederick Rd
Catonsville, MD 21228-5631 - Phone
- (973) 573-1177
- NPI assigned
- Dec 31, 2019
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 024250-01 | NY | |
| Occupational Therapist | 225X00000X | 09077 | MD | Primary |
Addresses
Primary practice location
2300 Old Frederick Rd
Catonsville, MD 21228-5631
Mailing address
5 Temple PL
Passaic, NJ 07055-5631
Phone (973) 573-1177
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 |
|---|---|---|---|
| 024250-01 | NY | MD | Occupational Therapist |
| 09077 | MD | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1577750400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1633219200000",
"number": "1558900043",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5 TEMPLE PL",
"city": "PASSAIC",
"state": "NJ",
"postal_code": "070555631",
"telephone_number": "973-573-1177"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2300 OLD FREDERICK RD",
"city": "CATONSVILLE",
"state": "MD",
"postal_code": "212285631",
"telephone_number": "973-573-1177"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAHN",
"first_name": "AVIVA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-12-31",
"last_updated": "2021-10-03",
"certification_date": "2021-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NY",
"license": "024250-01",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MD",
"license": "09077",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Catonsville, MD
- Juniper Healthcare LLC
- Justin G. Rosemore, D.O., P.a.
- Juvora Mind and Wellness Healthcare Services LLC
- K M & Associates Pastoral Counseling Services (A Renewed Mind Behavioral Health Center)
- Samantha Kadrmas
- Marnie Kahn
- Teresa Stanley Kaidy
- Marni Lynn Kallins, PT
- Dorothy Mary Kalyanapu, M.D.
- Sward Kamarah, NP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.