KARISSA ANN PAVELKA SIMON MS OTR/L NPI 1184980310

NPI Information

NPI: 1184980310
Provider Name: KARISSA ANN PAVELKA SIMON, MS, OTR/L
Classification: Student in an Organized Health Care Education/Training Program - 390200000X
Entity Type: Individual
Address:
8092 VERBECK DR
MANLIUS, NY
ZIP 13104
Phone: (443) 752-9952
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Karissa Ann Pavelka Simon, MS, OTR/L is a student in an organized health care education training program in Manlius, NY. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Karissa Ann Pavelka Simon, MS, OTR/L NPI is 1184980310. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

8092 VERBECK DR
MANLIUS, NY
ZIP 13104-312
Phone: (443) 752-9952

The enumeration date for this NPI number is 4/2/2012 and was last updated on 10/23/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	License Number	License State	Primary
1	225X00000X	Occupational Therapist	020867	NEW YORK	No
2	225X00000X	Occupational Therapist	07208	MARYLAND	No
3	225X00000X	Occupational Therapist	46TR00816700	NEW JERSEY	No
4	390200000X	Student in an Organized Health Care Education/Training Program			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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