MEDICARE: DEVON ELYSE HAYNES APARICIO OTR/L

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225X00000X	Occupational Therapist	029789	NY

General Provider Information

NPI Number	:	1255146882
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DEVON ELYSE HAYNES APARICIO OTR/L

Provider Business Mailing Address
First Line	:	138 W 109TH ST APT 4W
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10025-2549
Country	:	US
Telephone Number	:	401-871-4998
Fax Number	:

Provider Business Practice Location Address
First Line	:	1887 BATHGATE AVE
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10457-6283
Country	:	US
Telephone Number	:	718-466-3580
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/11/2025
Last Update Date	:	02/11/2025

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Directions to “ DEVON ELYSE HAYNES APARICIO OTR/L” Practice Location

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