National Provider Identifier

Kathleen Rose Lavelle, OT

Kathleen Rose Lavelle, OT is listed in the NPPES registry with a primary specialty of Occupational Therapist in Salamanca, NY and a listed phone number of (716) 945-2484.

NPI 1881659878Salamanca, NYOccupational Therapist

Profile Overview

NPI
1881659878
Provider Type
Individual
Primary Specialty
Occupational Therapist
Enumeration Date
April 20, 2006
Last Updated
February 27, 2025

Practice Location

  • 4039 Route 219
  • Suite 104
  • Salamanca, NY 14779

Phone: (716) 945-2484

Mailing Address

  • 6301 Transit RD
  • Depew, NY 14043-1051

Specialties

  • Occupational Therapist (225X00000X)
  • Occupational Therapist (225X00000X)
Full Record
NPI
1881659878
Entity Type
Individual
Last Name
Lavelle
First Name
Kathleen
Middle Name
Rose
Credential
OT
Mailing Street Address
6301 Transit RD
Mailing City
Depew
Mailing State
NY
Mailing ZIP Code
14043-1051
Mailing Country
US
Mailing Phone
(716) 684-0400
Mailing Fax
(716) 683-7028
Practice Street Address
4039 Route 219
Practice Address Line 2
Suite 104
Practice City
Salamanca
Practice State
NY
Practice ZIP Code
14779
Practice Country
US
Practice Phone
(716) 945-2484
Practice Fax
(716) 945-2487
Enumeration Date
April 20, 2006
Last Updated
February 27, 2025
Sex
Female
Sole Proprietor
No
Certification Date
February 27, 2025
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Occupational Therapist (225X00000X), Occupational Therapist (225X00000X)
Other Identifiers
00011174501 (NY, Univera), 827101 (NY, Managed Physical Network), 000670089001 (NY, Blue Cross Blue Shield), 02143882 (NY), 040426003615 (NY, Fidelis), 9611230 (NY, Iha)