Kara Tavolacci, OTR/L
Individual provider Active NPI Occupational Therapist · Pound Ridge, NY
NPI 1720316623 · NPPES record last updated Dec 3, 2009
Key facts
- NPI
- 1720316623
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- 013300-1 (NY)
- Practice address
- 25 Pheasant Rd
Pound Ridge, NY 10576-2314 - Phone
- (646) 339-9938
- NPI assigned
- Dec 3, 2009
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 013300-1 | NY | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 013300-1 | NY | Yes |
Addresses
Primary practice location
25 Pheasant Rd
Pound Ridge, NY 10576-2314
Mailing address
25 Pheasant Rd
Pound Ridge, NY 10576-2314
Phone (646) 339-9938
Other providers in Pound Ridge, NY
- Pound Ridge Pharmacy LLC
- Janet Alison Ricca
- Stephanie Rifkinson-Mann
- Steven J Solomon
- Patricia Spargo
- Miriam Starr Wetchler
- Barbara J Wright
All providers in Pound Ridge, NY · Occupational Therapist in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 3, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.