Individual provider · Type 1 NPI

Timothy Livesay, OT

Occupational Therapist · East Syracuse, NY

NPI number 1699652354 Active

Practice location

5823 Widewaters Pkwy Ste 3
East Syracuse, NY 13057-3081

Fax (315) 200-1802

Mailing address

PO Box 580
Syracuse, NY 13214-0580

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000X030469 (NY)

Occupational Therapist: An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork…

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About NPI 1699652354

Timothy Livesay, OT's National Provider Identifier is 1699652354, issued on Aug 16, 2025. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in East Syracuse, NY. The record was last updated on Aug 16, 2025.