Individual provider Active NPI

Olivia Traynor, OTR/L

  • Occupational Therapist
  • Rochester, NY
National Provider Identifier
1679047799
Registry record updated Sep 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
025913-01 Issued in NY
Practice address
1057 E Henrietta Rd Ste 500
Rochester, NY 14623-2655
Phone
(585) 427-2977
NPI assigned
Jan 12, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 5497 TN
Occupational Therapist 225X00000X 025913-01 NY Primary

Addresses

Primary practice location

1057 E Henrietta Rd Ste 500
Rochester, NY 14623-2655

Mailing address

110 Green Rd
Churchville, NY 14428-9534
Phone (315) 486-2112

Other practice location 1

5321 Beverly Park Cir
Knoxville, TN 37918-9253
Phone (865) 687-1321 ext. 2047

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
025913-01NYMDOccupational Therapist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1547251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631577600000",
    "number": "1679047799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 GREEN RD",
            "city": "CHURCHVILLE",
            "state": "NY",
            "postal_code": "144289534",
            "telephone_number": "315-486-2112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1057 E HENRIETTA RD STE 500",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146232655",
            "telephone_number": "585-427-2977"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5321 Beverly Park Cir",
            "address_purpose": "LOCATION",
            "city": "Knoxville",
            "state": "TN",
            "postal_code": "379189253",
            "country_code": "US",
            "telephone_number": "865-687-1321 x2047",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TRAYNOR",
        "first_name": "OLIVIA",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-12",
        "last_updated": "2021-09-14",
        "certification_date": "2021-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TN",
            "license": "5497",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "025913-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 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.

Verify at the official NPI Registry.