Active NPI
Jenna Riley Wright
- Occupational Therapy Assistant
- Minoa, NY
National Provider Identifier
1093398331
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 010382-01
- Practice address
- 217 East Ave
Minoa, NY 13116-1205 - Phone
- (315) 656-7277
- NPI assigned
- May 4, 2021
- 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 |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 010382-01 | NY | Primary |
Addresses
Primary practice location
217 East Ave
Minoa, NY 13116-1205
Mailing address
217 East Ave
Minoa, NY 13116-1205
Phone (315) 656-7277
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 010382-01 | Other | NY | NYS COTA LICENSE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jewright@onondagacenter.net | Direct |
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 |
|---|---|---|---|
| 010382-01 | NY | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1620086400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1620086400000",
"number": "1093398331",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "217 EAST AVE",
"city": "MINOA",
"state": "NY",
"postal_code": "131161205",
"telephone_number": "315-656-7277"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "217 EAST AVE",
"city": "MINOA",
"state": "NY",
"postal_code": "131161205",
"telephone_number": "315-656-7277"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WRIGHT",
"first_name": "JENNA",
"middle_name": "RILEY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-05-04",
"last_updated": "2021-05-04",
"certification_date": "2021-05-04",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "NY",
"license": "010382-01",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NYS COTA LICENSE",
"identifier": "010382-01",
"state": "NY"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jewright@onondagacenter.net",
"affiliation": "N",
"endpointDescription": "Email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "217 East Ave",
"city": "Minoa",
"state": "NY",
"country_code": "US",
"postal_code": "131161205",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Minoa, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.