Tammy Kelsey Perez, OTR/L
Individual provider Active NPI Occupational Therapist · Black River, NY
NPI 1790968469 · NPPES record last updated Dec 17, 2007
Key facts
- NPI
- 1790968469
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- 008991-1 (NY)
- Practice address
- 30081 Nys Rte 3
Black River, NY 13612-2093 - Phone
- (315) 775-0525
- NPI assigned
- Dec 17, 2007
- 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 |
|---|---|---|---|
| 008991-1 | NY | MD | Occupational Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 008991-1 | NY | Yes |
Addresses
Primary practice location
30081 Nys Rte 3
Black River, NY 13612-2093
Mailing address
30081 Nys Rte 3
Black River, NY 13612-2093
Phone (315) 775-0525
Other providers in Black River, NY
- Olga Harbuz
- Catherine Faye Langevin
- Elizabeth Ann Murphy
- Nids Coalition Northern Chapter
- Anmmarie Tweedy Palmer
- Samantha Ann Schirmer
- Vincent a. Cesario DMD LLC
- Hans Werner Wawrousek Jr.
- Jessica Dawn Whitmore
All providers in Black River, 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 17, 2007. 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.