Active NPI
Jason Pimentel Jimenez, OTR
- Physical Rehabilitation Occupational Therapist
- New York, NY
National Provider Identifier
1093139974
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Rehabilitation Occupational Therapist
- License
- 012917
- Practice address
- 264 Canal St
Suite 6E
New York, NY 10013-3529 - Phone
- (212) 925-8069
- Fax
- (646) 224-8040
- NPI assigned
- Feb 12, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gerontology Occupational Therapist | 225XG0600X | 012917 | NY | |
| Physical Rehabilitation Occupational Therapist | 225XP0019X | 012917 | NY | Primary |
Addresses
Primary practice location
264 Canal St
Suite 6E
New York, NY 10013-3529
Mailing address
264 Canal St
Suite 6E
New York, NY 10013-3529
Phone (212) 925-8069
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 |
|---|---|---|---|
| Movement Matters Rehabilitation, OT, PT, PLLC | Past | Accepting new patients |
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.
-
- Occupational Therapist
- New York, NY
- NPI 1336431592
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1392163200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1432080000000",
"number": "1093139974",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "264 CANAL ST",
"address_2": "SUITE 6E",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100133529",
"telephone_number": "212-925-8069",
"fax_number": "646-224-8040"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "264 CANAL ST",
"address_2": "SUITE 6E",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100133529",
"telephone_number": "212-925-8069",
"fax_number": "646-224-8040"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JIMENEZ",
"first_name": "JASON",
"middle_name": "PIMENTEL",
"name_prefix": "Mr.",
"credential": "OTR",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-02-12",
"last_updated": "2015-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "225XG0600X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Gerontology",
"state": "NY",
"license": "012917",
"primary": false
},
{
"code": "225XP0019X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Physical Rehabilitation",
"state": "NY",
"license": "012917",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.