Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Carolyn Marie O'Brien

Individual provider Occupational Therapist · NPI 1790338507

Carolyn Marie O'Brien is an Occupational Therapist in Private Practice in Fairport, New York. Qualified in 2018, 8 years ago. Works from 2 locations. Licensed in New York.

Years since qualifying
8
Licensed in
NY
In the registry since
2019
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Practice location Address checks out

39 Royale Dr
Fairport, NY 14450-8441
Phone: (585) 683-4039
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 925 Seneca St, Seattle, WA 98101-2742 — (206) 515-5811

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 413098 (NY)

Record details

NPI number1790338507
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 21, 2019
Last updated in NPPESMarch 16, 2026
Certification dateMarch 16, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Other providers in Fairport