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Mary Iwanenko, MS, OTR/L, ATP, SI/C
NPI 1811173990 · Specialist · Lackawanna, NY
Mary Iwanenko, MS, OTR/L, ATP, SI/C is a Specialist provider in Lackawanna, NY (NPI 1811173990).
Provider details
- NPI number
- 1811173990
- Entity type
- Individual
- Primary specialty
- SpecialistOther Service Providers
- Credential
- MS, OTR/L, ATP, SI/C
- Sex
- Female
- Sole proprietor
- No
- License
- 006633-1 (NY)
Specialties & taxonomies
Other Service Providers
Profile Score
Detailed profile(88/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1025 Ridge Rd
Lackawanna, NY 14218-1755
Phone: (716) 822-4781
Fax: (716) 362-8989
Street-level locationGet directions
Mailing address
219 S Shore Blvd
Lackawanna, NY 14218-1753
Registry dates
- Enumerated
- 2008-01-18
- Last updated
- 2008-01-18
Frequently asked questions
- What is Mary Iwanenko's NPI number?
- Mary Iwanenko's National Provider Identifier (NPI) is 1811173990, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Mary Iwanenko's specialty?
- Mary Iwanenko is listed in the NPPES registry with a primary specialty of Specialist (Other Service Providers).
- Where is Mary Iwanenko located?
- Mary Iwanenko's practice location on file with NPPES is 1025 Ridge Rd, Lackawanna, NY 14218-1755.
- What is Mary Iwanenko's phone number?
- The practice phone number listed in the NPPES registry for Mary Iwanenko is (716) 822-4781.
- Is Mary Iwanenko's NPI active?
- Yes — Mary Iwanenko's NPI (1811173990) is active in the NPPES registry as of the last update on 2008-01-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.