Active NPI
Jacqueline Marie McIntosh, OTR/L
- Occupational Therapist
- San Francisco, CA
National Provider Identifier
1003447715
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 19534
- Practice address
- 2111 43Rd Ave
San Francisco, CA 94116-1528 - Phone
- (561) 762-8768
- NPI assigned
- Jan 31, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 19534 | CA | Primary |
Addresses
Primary practice location
2111 43Rd Ave
San Francisco, CA 94116-1528
Mailing address
2111 43Rd Ave
San Francisco, CA 94116-1528
Phone (561) 762-8768
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aluna Healthcare | Single Specialty | Current | Accepting new patients |
| Feld Care Therapy Inc | Occupational Therapist | Past | Accepting new patients |
Organizations & group practices 2
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1580428800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1580428800000",
"number": "1003447715",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2111 43RD AVE",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941161528",
"telephone_number": "561-762-8768"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2111 43RD AVE",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941161528",
"telephone_number": "561-762-8768"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCINTOSH",
"first_name": "JACQUELINE",
"middle_name": "MARIE",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-01-31",
"last_updated": "2020-01-31",
"certification_date": "2020-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Occupational Therapist",
"state": "CA",
"license": "19534",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.