Gary F Bivona, OTR/L

Individual provider Active NPI Occupational Therapist · Amherst, MA

NPI 1659514693 · NPPES record last updated Dec 28, 2021

Key facts

NPI
1659514693
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapist 225X00000X
License
3433 (MA)
Practice address
51 Pine St
Amherst, MA 01002-1171
Phone
(413) 695-3483
NPI assigned
Apr 7, 2009
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
3433MAMDRegistered Dietitian

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 3433 MA Yes

Addresses

Primary practice location

51 Pine St
Amherst, MA 01002-1171

Mailing address

51 Pine St
Amherst, MA 01002-1171
Phone (413) 695-3483

Other providers in Amherst, MA

All providers in Amherst, MA · Occupational Therapist in Massachusetts

Sources for this page

Verify at the official NPI Registry.