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

Kelly Thacker, OT

Individual provider Occupational Therapist · NPI 1558386672

Kelly Thacker, OT is registered under Occupational Therapist in Private Practice in New York, New York. Graduated from Mercy College in 1998, 28 years ago. Practices with Icahn School of Medicine at Mount Sinai, a 2,791-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
28
Trained at
Mercy College
Licensed in
NY
In the registry since
2006
What do these letters mean?
OT — Occupational Therapist
Helps people regain the skills needed for daily living and work.

See every abbreviation used in this directory →

Practice location Address checks out

425 W 59th St Fl 6
New York, NY 10019-8022
Phone: (212) 523-7844
Show map & directions

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

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 026459 (NY)

Record details

NPI number1558386672
Entity typeIndividual (Type 1)
GenderFemale
Credentials OT
Sole proprietorNo
NPI enumeratedJuly 12, 2006
Last updated in NPPESMarch 12, 2026
Certification dateMarch 12, 2026

Medicare enrollment

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

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolMERCY COLLEGE
Graduated 1998 (28 years in practice)
Group practice Icahn School Of Medicine At Mount Sinai — 2791 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients51
Services billed 1,478 a service is one billed item, such as a visit, a test or a procedure
Average patient age75

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Colleagues at Icahn School of Medicine at Mount Sinai

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 2791 clinicians in the practice; 12 are shown here.

Other providers in New York