Individual provider Active NPI

Andrea Caramore, OTR/L

  • Occupational Therapist
  • Ithaca, NY
National Provider Identifier
1851892517
Registry record updated Nov 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
024332 Issued in NY
Practice address
225 S Fulton St Ste D
Ithaca, NY 14850-3344
Phone
(607) 437-0141
NPI assigned
Feb 27, 2018
Last updated
Nov 12, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2020

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 0119007586 VA
Occupational Therapist 225X00000X 024332 NY Primary

Addresses

Primary practice location

225 S Fulton St Ste D
Ithaca, NY 14850-3344

Mailing address

410 W Clinton St
Ithaca, NY 14850-5265

Other practice location 1

10-42 Mitchell Ave
Binghamton, NY 13903-1617
Phone (607) 762-2200

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

State licenses

LicenseStateTypeSpecialty
024332NYMDPsychologist
0119007586VAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Gorge Falls Therapy SLP, OT, PLLC PastSince Nov 15, 2020 Accepting new patients
Gorge Falls Therapy SLP, OT, PLLC PastSince Nov 15, 2020 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1519689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605139200000",
    "number": "1851892517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 W CLINTON ST",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "148505265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 S FULTON ST STE D",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "148503344",
            "telephone_number": "607-437-0141"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10-42 Mitchell Ave",
            "address_purpose": "LOCATION",
            "city": "Binghamton",
            "state": "NY",
            "postal_code": "139031617",
            "country_code": "US",
            "telephone_number": "607-762-2200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARAMORE",
        "first_name": "ANDREA",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-27",
        "last_updated": "2020-11-12",
        "certification_date": "2020-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "VA",
            "license": "0119007586",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "024332",
            "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 Nov 12, 2020; 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.