Shayla Lee Gifford, OT | |
1601 Armory Dr, Utica, NY 13501-5405 | |
(315) 724-6907 | |
(315) 733-0791 |
Full Name | Shayla Lee Gifford |
---|---|
Gender | Female |
Speciality | Occupational Therapist |
Location | 1601 Armory Dr, Utica, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1508818501 | NPI | - | NPPES |
02746830 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | 008587 (New York) | Primary |
Provider Name | Upstate Cerebral Palsy Inc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1780636506 PECOS PAC ID: 5496734758 Enrollment ID: O20040719001380 |
Mailing Address | Practice Location Address |
---|---|
Shayla Lee Gifford, OT 1020 Mary St, Utica, NY 13501-1930 Ph: (315) 724-6907 | Shayla Lee Gifford, OT 1601 Armory Dr, Utica, NY 13501-5405 Ph: (315) 724-6907 |
Marena Leigh Taverne, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1601 Armory Dr, Utica, NY 13501 Phone: 315-798-4006 | |
Miss Brianna Marie Scheening, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 130 Lomond Ct, Utica, NY 13502 Phone: 315-724-4268 | |
Patricia Jean Sidoran, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1601 Armory Dr, Utica, NY 13501 Phone: 315-738-1428 Fax: 315-738-1461 | |
Mrs. Donna L. Roback, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 6067 Walker Rd, Utica, NY 13502 Phone: 315-735-4444 | |
Mary H Seyse, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2209 Genesee Street, Utica, NY 13501 Phone: 315-798-8361 Fax: 315-798-8397 | |
Miss Kyrra Anne Marchese, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 241 Genesee St, Utica, NY 13501 Phone: 315-272-1606 | |
Jaimie Hughes, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 130 Lomond Ct, Utica, NY 13502 Phone: 315-724-4286 |