Individual provider Active NPI

Jennifer Sarah Nissani, OTR/L, MA

  • Occupational Therapist
  • Jamaica, NY
National Provider Identifier
1033422365
Registry record updated Dec 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
0134251 Issued in NY
Practice address
18615 Troon Rd
Jamaica, NY 11432-5816
Phone
(917) 272-2296
NPI assigned
Jul 15, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 0134251 NY Primary

Addresses

Primary practice location

18615 Troon Rd
Jamaica, NY 11432-5816

Mailing address

18615 Troon Rd
Jamaica, NY 11432-5816
Phone (917) 272-2296

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230519002430 NY Practitioner - Occupational Therapist in Private Practice 5597121343 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rockland Recovery Physical Therapy PLLCGroup PAC ID 8022180173, 4 clinicians

Practice addresses (Care Compare)

3296 Palisades Ctr Dr
West Nyack, NY 10994-6602
Phone (845) 354-7779

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
0134251NYMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Rockland Recovery Physical Therapy, PLLC Occupational Therapist CurrentSince May 1, 2023 Accepting new patients

Locations

3296 Palisades Center Dr
West Nyack, NY 10994
Phone (845) 213-2064

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722

Organizations & group practices 1

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": "1279152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1513728000000",
    "number": "1033422365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18615 TROON RD",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114325816",
            "telephone_number": "917-272-2296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18615 TROON RD",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114325816",
            "telephone_number": "917-272-2296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NISSANI",
        "first_name": "JENNIFER",
        "middle_name": "SARAH",
        "credential": "OTR/L, MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-15",
        "last_updated": "2017-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "0134251",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jamaica, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.