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

Karissa Ann Pavelka Simon, MS, OTR/L

Individual provider Occupational Therapist · NPI 1184980310

Karissa Ann Pavelka Simon, MS, OTR/L is an Occupational Therapist in Manlius, New York. Practices as a sole proprietor. Licensed in Maryland, New Jersey and New York.

Licensed in
MD, NJ, NY
In the registry since
2012
Specialties on file
4
What do these letters mean?
MS — Master of Science
A graduate science degree.
OTR/L — Occupational Therapist, Registered and Licensed
An occupational therapist who is both nationally registered and state licensed.

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Practice location Address checks out

8092 Verbeck Dr
Manlius, NY 13104-9312
Phone: (443) 752-9952
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X
Occupational Therapist Taxonomy 225X00000X · Licence 020867 (NY)
Occupational Therapist Taxonomy 225X00000X · Licence 07208 (MD)
Occupational Therapist Taxonomy 225X00000X · Licence 46TR00816700 (NJ)

Record details

NPI number1184980310
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS , OTR/L
Sole proprietorYes
NPI enumeratedApril 2, 2012
Last updated in NPPESOctober 23, 2022
Certification dateOctober 23, 2022

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