Active NPI
Jennifer Dawn Bailey, MS OTR/L
- Pediatric Occupational Therapist
- Syracuse, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- 016191-1
- Practice address
- 171 Intrepid LN
Syracuse, NY 13205-2548 - Phone
- (315) 437-4689
- NPI assigned
- Sep 12, 2011
- Last updated
- Sep 12, 2011
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | 016191-1 | NY | Primary |
Addresses
Primary practice location
171 Intrepid LN
Syracuse, NY 13205-2548
Mailing address
243 N Main St Apt 1
Oneida, NY 13421-1319
Phone (315) 292-8428
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
701 Lenox Ave
Oneida, NY 13421-1500
Phone (315) 363-9281
719 Lenox Ave
Oneida, NY 13421-1500
Phone (315) 363-9281
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 016191-1 | NY | MD | Pediatric Occupational Therapist |
| 016191 | NY | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nysarc Inc. | Current | Accepting new patients | |
| The Network for Children's Speech, Occupational and Physical Therapy | Past | Accepting new patients |
Locations
634 Birchwood Dr
Oneida, NY 13421
701 Lenox Ave
Oneida, NY 13421
Phone (315) 363-3389
719 Lenox Ave
Oneida, NY 13421
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Children's Therapy Network
- Early Intervention Provider Agency
- Syracuse, NY
- NPI 1619113255
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1315785600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1315785600000",
"number": "1093097479",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "243 N MAIN ST APT 1",
"city": "ONEIDA",
"state": "NY",
"postal_code": "134211319",
"telephone_number": "315-292-8428"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "171 INTREPID LN",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "132052548",
"telephone_number": "315-437-4689"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAILEY",
"first_name": "JENNIFER",
"middle_name": "DAWN",
"credential": "MS OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-09-12",
"last_updated": "2011-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "NY",
"license": "016191-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Syracuse, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2011; 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.