TIMOTHY LIVESAY OT
NPI 1699652354
Occupational Therapist in East Syracuse, NY

Active since August 16, 2025Accepts Medicare Assignment
5823 WIDEWATERS PKWY STE 3, EAST SYRACUSE, NY 13057(315) 418-4000(315) 200-1802 Get Directions Write a Review

NPPES record last updated: August 16, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Timothy Livesay Ot NPPES

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

TIMOTHY LIVESAY OT (NPI 1699652354) is an individual occupational therapist in East Syracuse, New York, licensed in New York (030469) and active in the NPI registry since August 2025. He is a graduate of Other (2025).

NPPES Registry Identity

NPI1699652354
Entity TypeIndividualMale
Primary Taxonomy225X00000X
Provider Legal NameTIMOTHY LIVESAYCredential: OT
Location Address5823 WIDEWATERS PKWY STE 3East Syracuse, NY 13057-3081
Mailing AddressPo Box 580Syracuse, NY 13214-0580 · (315) 418-4025 · Fax (315) 552-6046
Fax(315) 200-1802
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateAugust 16, 2025
NPPES CertifiedAugust 16, 2025
NPI 1699652354 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOccupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225X00000X
License Licensed in NY · 030469
Definition
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 experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life.
5823 WIDEWATERS PKWY STE 3, East Syracuse, NY 13057

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Timothy Livesay Ot is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7618472077
PECOS Enrollment IDI20250925003591

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapist
5823 WIDEWATERS PKWY STE 3
EAST SYRACUSE, NY 13057
Physical Therapist
5823 WIDEWATERS PKWY STE 3
EAST SYRACUSE, NY 13057
Occupational Therapist
5823 WIDEWATERS PKWY STE 3
EAST SYRACUSE, NY 13057
Occupational Therapist
5823 WIDEWATERS PKWY STE 3
EAST SYRACUSE, NY 13057
Physical Therapist
5823 WIDEWATERS PKWY STE 3
EAST SYRACUSE, NY 13057
Physical Therapist
5823 WIDEWATERS PKWY STE 3
EAST SYRACUSE, NY 13057
Physical Therapist
5823 WIDEWATERS PKWY STE 3
EAST SYRACUSE, NY 13057
Physical Therapist
5823 WIDEWATERS PKWY STE 3
EAST SYRACUSE, NY 13057

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 Timothy Livesay's NPI number?

The NPI number for Timothy Livesay is 1699652354. It was assigned to this individual provider in the NPPES registry on August 16, 2025.

Where is Timothy Livesay located?

Timothy Livesay practices at 5823 Widewaters Pkwy Ste 3, East Syracuse, NY 13057. The listed phone number is (315) 418-4000.

What is Timothy Livesay's specialty?

The primary specialty registered for this NPI is Occupational Therapist with taxonomy code 225X00000X.

Is Timothy Livesay enrolled in Medicare?

Yes. Timothy Livesay is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Timothy Livesay was last updated on August 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.