Kelly Thacker, OT in New York, NY - Medicare Occupational Therapist In Private Practice Provider

Kelly Thacker, OT is a medicare enrolled "Occupational Therapist" provider in New York, New York. She went to Mercy College and graduated in 1998 and has 28 years of diverse experience with area of expertise as Occupational Therapist In Private Practice. She is a member of the group practice Icahn School Of Medicine At Mount Sinai and her current practice location is 425 W 59th St Fl 6, New York, New York. You can reach out to her office (for appointments etc.) via phone at (212) 523-7844.

Kelly Thacker is licensed to practice in New York (license number 026459) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1558386672.

Contact Information

	Kelly Thacker, OT
	425 W 59th St Fl 6, New York, NY 10019-8022
	(212) 523-7844
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Kelly Thacker
Gender	Female
Speciality	Occupational Therapist In Private Practice
Experience	28 Years
Location	425 W 59th St Fl 6, New York, New York
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Kelly Thacker attended and graduated from Mercy College in 1998

NPI Data:

NPI Number: 1558386672
Provider Enumeration Date: 07/12/2006
Last Update Date: 02/25/2026

Medicare PECOS Information:

PECOS PAC ID: 0749293256
Enrollment ID: I20221202002055

Medical Identifiers

Medical identifiers for Kelly Thacker such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1558386672	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225X00000X	Occupational Therapist	026459 (New York)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Icahn School Of Medicine At Mount Sinai	2264691070	2587

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Kelly Thacker allows following entities to bill medicare on her behalf.

Provider Name	Icahn School Of Medicine At Mount Sinai
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1124550280 PECOS PAC ID: 2264691070 Enrollment ID: O20121227000330

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kelly Thacker is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Kelly Thacker, OT 425 W 59th St Fl 6, New York, NY 10019-8022 Ph: (212) 523-7844	Kelly Thacker, OT 425 W 59th St Fl 6, New York, NY 10019-8022 Ph: (212) 523-7844

Reviews and Comments

Occupational Therapist in New York, NY

Leah Jenson, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 38 W 32nd St Ste 604, New York, NY 10001 Phone: 917-763-0974
Patricia Marie Beraducci, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 15 W 65th St, New York, NY 10023 Phone: 212-769-6310
Princesita Conte, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 4951 Chambers Street 6th Floor, New York, NY 10007 Phone: 917-286-5147
Mr. Kai-shih Wang, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 225 W 23rd St, Apt 4j, New York, NY 10011 Phone: 917-589-2877
Ms. Eileen Dwyre, M.A. OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 38 W 32nd St, 602, New York, NY 10001 Phone: 212-290-0292
Claire Buckley, M.S.O.T. Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 248 W 35th St, New York, NY 10001 Phone: 212-453-0036
Jenny Joseph, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 264 Canal St, New York, NY 10013 Phone: 212-925-8069

Kelly Thacker, OT - Medicare Occupational Therapist in New York, NY