Jill Christine Whitbeck, MS, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

012898-1 Issued in NY

Practice address

5415 N Bloomfield Rd
Canandaigua, NY 14424-7964

Phone

(585) 394-9510

Fax

(585) 394-5326

NPI assigned

Feb 24, 2020

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Finger Lakes United Cerebral Palsy, Inc.

  • Clinic/Center
  • Canandaigua, NY
  • NPI 1194835462
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1582502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582502400000",
    "number": "1003440611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5415 N BLOOMFIELD RD",
            "city": "CANANDAIGUA",
            "state": "NY",
            "postal_code": "144247964",
            "telephone_number": "585-394-9510",
            "fax_number": "585-394-5326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5415 N BLOOMFIELD RD",
            "city": "CANANDAIGUA",
            "state": "NY",
            "postal_code": "144247964",
            "telephone_number": "585-394-9510",
            "fax_number": "585-394-5326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITBECK",
        "first_name": "JILL",
        "middle_name": "CHRISTINE",
        "name_prefix": "Mrs.",
        "credential": "MS, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-24",
        "last_updated": "2020-02-24",
        "certification_date": "2020-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "012898-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Western New York Medical Practice P.C
• Teresa Defrancesco Wheatley, OT
• Brittany Rose Wheaton
• Shirley B Whelpton, LPN
• Darrell James Whitbeck, OT
• Kristina Marie Whitbeck, MS OTR/L
• Christine White, LPN
• Paul S Whitehead, M.D.
• Aimee Elizabeth Whiteman, PHARMD
• Diara Whitley

• Occupational Therapist in Canandaigua, NY
• Providers in Canandaigua, NY by specialty
• Occupational Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.