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

Jorich Dalistan

Individual provider Occupational Therapist · NPI 1033083316

Jorich Dalistan is an Occupational Therapist in Private Practice in Victor, New York. Qualified in 2022, 4 years ago. Licensed in New York.

Years since qualifying
4
Licensed in
NY
In the registry since
2025
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Practice location Address checks out

1055 Oak Ridge Dr
Victor, NY 14564-9414
Phone: (585) 957-2612
Fax: (585) 957-2612
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 027487 (NY)

Record details

NPI number1033083316
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedOctober 1, 2025
Last updated in NPPESOctober 1, 2025
Certification dateSeptember 30, 2025
Mailing address1055 Oak Ridge Dr, Victor, NY 14564-9414

Medicare enrollment

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

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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