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KARISSA ANN PAVELKA SIMON MS, OTR/L
NPI 1184980310
Student in an Organized Health Care Education/Training Program in Manlius, NY

Active since April 02, 2012
8092 VERBECK DR, MANLIUS, NY 13104(443) 752-9952 Get Directions Write a Review

NPPES record last updated: October 23, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Karissa Ann Pavelka Simon Ms, Otr/l NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KARISSA ANN PAVELKA SIMON MS, OTR/L (NPI 1184980310) is an individual student in an organized health care education/training program in Manlius, New York and active in the NPI registry since April 2012.

NPPES Registry Identity

NPI1184980310
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameKARISSA ANN PAVELKA SIMONCredential: MS, OTR/L
Location Address8092 VERBECK DRManlius, NY 13104-9312
Mailing Address8092 Verbeck DrManlius, NY 13104-9312 · (443) 752-9952
Phone(443) 752-9952
Sole ProprietorYes
Enumeration DateApril 2, 2012
Last NPPES UpdateOctober 23, 2022
NPPES CertifiedOctober 23, 2022
✔ NPI 1184980310 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition

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.

Also ListedOccupational TherapistTaxonomy 225X00000X · License 020867 (NY), 07208 (MD), 46TR00816700 (NJ)
8092 VERBECK DR, Manlius, NY 13104
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Other Names 1

Former Name (1)Karissa Ann Pavelka

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Karissa Simon's NPI number?

The NPI number for Karissa Simon is 1184980310. It was assigned to this individual provider in the NPPES registry on April 2, 2012. The provider is also known as Karissa Ann Pavelka.

Where is Karissa Simon located?

Karissa Simon practices at 8092 Verbeck Dr, Manlius, NY 13104. The listed phone number is (443) 752-9952.

What is Karissa Simon's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Karissa Simon was last updated on October 23, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.