Meredith Ann Jacobs, OTD, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

015204 Issued in NY

Practice address

3 Gingerbread LN
East Hampton, NY 11937-2480

Phone

(631) 329-4155

NPI assigned

Nov 20, 2023

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1700438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700438400000",
    "number": "1063287142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 HANDS CREEK RD",
            "city": "EAST HAMPTON",
            "state": "NY",
            "postal_code": "119373808",
            "telephone_number": "516-383-2136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 GINGERBREAD LN",
            "city": "EAST HAMPTON",
            "state": "NY",
            "postal_code": "119372480",
            "telephone_number": "631-329-4155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOBS",
        "first_name": "MEREDITH",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "OTD, OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-11-20",
        "last_updated": "2023-11-20",
        "certification_date": "2023-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "015204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hamptons Physical Therapy, PC
• Jeimy D Hernandez Cruz
• George Gabriel Hershman, R.,PH.
• Mary C Howard, LCSW
• Barbara Hulsart, PHD
• Cristina Jimenez, MSW, MA
• Edward Jones, LP
• Judith Jordan, LCSW
• Allison Karlin, OTR/L
• Alan Katz, D.D.S.

• Occupational Therapist in East Hampton, NY
• Providers in East Hampton, 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 Nov 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.