Active NPI
Jodi Lynne Pobliner
- Occupational Therapist
- South Setauket, NY
National Provider Identifier
1063551034
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 008240-1
- Practice address
- 6 Brookfield LN
South Setauket, NY 11720-1410 - Phone
- (631) 846-3304
- NPI assigned
- Feb 6, 2007
- 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 | 008240-1 | NY | Primary |
Addresses
Primary practice location
6 Brookfield LN
South Setauket, NY 11720-1410
Mailing address
6 Brookfield LN
South Setauket, NY 11720-1410
Phone (631) 846-3304
Other names 1
- Jodi Lynne Blatt
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 008240-1 | NY | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170720000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1063551034",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6 BROOKFIELD LN",
"city": "SOUTH SETAUKET",
"state": "NY",
"postal_code": "117201410",
"telephone_number": "631-846-3304"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6 BROOKFIELD LN",
"city": "SOUTH SETAUKET",
"state": "NY",
"postal_code": "117201410",
"telephone_number": "631-846-3304"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POBLINER",
"first_name": "JODI",
"middle_name": "LYNNE",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-06",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NY",
"license": "008240-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JODI",
"last_name": "BLATT",
"middle_name": "LYNNE",
"code": "1",
"type": "Former Name"
}
]
}Other providers in South Setauket, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.