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

MS. Telisa T Wardlaw, OTR

Individual provider Occupational Therapist · NPI 1164588158

MS. Telisa T Wardlaw, OTR is an Occupational Therapist in Rosedale, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2006
What do these letters mean?
OTR — Occupational Therapist, Registered
A nationally registered occupational therapist.

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Practice location Address checks out

220-28 147th Ave
Rosedale, NY 11413 Not confirmed with CMS for 14 years — call before visiting
Phone: (718) 276-1600
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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 016130-1 (NY)

Record details

NPI number1164588158
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTR
Sole proprietorYes
NPI enumeratedDecember 28, 2006
Last updated in NPPESJanuary 19, 2012

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 patients15
Services billed 846 a service is one billed item, such as a visit, a test or a procedure
Average patient age85

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.

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