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

Individual provider Occupational Therapist · NPI 1699652354

Timothy Livesay, OT is an Occupational Therapist in Private Practice in East Syracuse, New York. Qualified in 2025, 1 year ago. Practices with Syracuse Orthopedic Specialists, PLLC, a 115-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
1
Licensed in
NY
In the registry since
2025
What do these letters mean?
OT — Occupational Therapist
Helps people regain the skills needed for daily living and work.

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Practice location Address checks out

5823 Widewaters Pkwy Ste 3
East Syracuse, NY 13057-3081
Phone: (315) 418-4000
Fax: (315) 200-1802
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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 030469 (NY)

Record details

NPI number1699652354
Entity typeIndividual (Type 1)
GenderMale
Credentials OT
Sole proprietorNo
NPI enumeratedAugust 16, 2025
Last updated in NPPESAugust 16, 2025
Certification dateAugust 16, 2025

Medicare enrollment

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

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Syracuse Orthopedic Specialists, Pllc — 115 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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