Kathleen Rose Lavelle, OT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

01085001 Issued in NY

Practice address

4039 Route 219
Suite 104
Salamanca, NY 14779

Phone

(716) 945-2484

Fax

(716) 945-2487

NPI assigned

Apr 20, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 6

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Aspire of Western New York IncGroup PAC ID 6507759230, 26 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Aspire of Western New York Inc.

  • Developmental Disabilities Clinic/Center
  • Cheektowaga, NY
  • NPI 1346337011
  Medicare reassignment Care Compare group NPD
• Western New York Physical and Occupational Therapy Group PLLC

  • Physical Therapist
  • Depew, NY
  • NPI 1881647261

  Occupational Therapist

  NPD (past)
• Western New York PT Group PC

  • Physical Therapist
  • Depew, NY
  • NPI 1013188341
  NPD (past)

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

{
    "created_epoch": "1145491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740614400000",
    "number": "1881659878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6301 TRANSIT RD",
            "city": "DEPEW",
            "state": "NY",
            "postal_code": "140431051",
            "telephone_number": "716-684-0400",
            "fax_number": "716-683-7028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4039 ROUTE 219",
            "address_2": "SUITE 104",
            "city": "SALAMANCA",
            "state": "NY",
            "postal_code": "14779",
            "telephone_number": "716-945-2484",
            "fax_number": "716-945-2487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAVELLE",
        "first_name": "KATHLEEN",
        "middle_name": "ROSE",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-20",
        "last_updated": "2025-02-27",
        "certification_date": "2025-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "01085001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERA",
            "identifier": "00011174501",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MANAGED PHYSICAL NETWORK",
            "identifier": "827101",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "000670089001",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02143882",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIDELIS",
            "identifier": "040426003615",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IHA",
            "identifier": "9611230",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emily M Karn, PA
• Amy L. Kellogg, M.S.
• Lee Kronert, DC
• Lake Effect Applied Behavior Analysis PLLC
• Jody M Lamarca, RD, CDN, CDCES
• Rianna Leigh, DDS
• Kimberly L Leight, BS
• Robert E Link, PA
• Stacy M Lockwood, LMSW
• Jeremy Long, DPT

• Occupational Therapist in Salamanca, NY
• Providers in Salamanca, NY by specialty
• Occupational Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.