Active NPI
Haley Richardson
- Occupational Therapist
- Ithaca, NY
National Provider Identifier
1659246940
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 030649
- Practice address
- 2230 N Triphammer Rd
Ithaca, NY 14850-6513 - Phone
- (607) 266-5300
- NPI assigned
- Oct 7, 2025
- 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 | 030649 | NY | Primary |
Addresses
Primary practice location
2230 N Triphammer Rd
Ithaca, NY 14850-6513
Mailing address
1 Colleen Dr
Willseyville, NY 13864-1105
Phone (607) 339-8458
Other practice location 1
101 Dates Dr
Ithaca, NY 14850-1383
Phone (607) 274-4011
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1759795200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1759795200000",
"number": "1659246940",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 COLLEEN DR",
"city": "WILLSEYVILLE",
"state": "NY",
"postal_code": "138641105",
"telephone_number": "607-339-8458"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2230 N TRIPHAMMER RD",
"city": "ITHACA",
"state": "NY",
"postal_code": "148506513",
"telephone_number": "607-266-5300"
}
],
"practiceLocations": [
{
"address_1": "101 Dates Dr",
"address_purpose": "LOCATION",
"city": "Ithaca",
"state": "NY",
"postal_code": "148501383",
"country_code": "US",
"telephone_number": "607-274-4011",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RICHARDSON",
"first_name": "HALEY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-10-07",
"last_updated": "2025-10-07",
"certification_date": "2025-10-07",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NY",
"license": "030649",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ithaca, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.