Jennifer Douglas, OTD, OTR/L

Primary specialty

Mental Health Occupational TherapistTaxonomy code 225XM0800X

License

028878 Issued in NY

Practice address

3103 Sedgwick Ave Apt 7E
Bronx, NY 10463-2799

Phone

(917) 588-7780

NPI assigned

Aug 26, 2026

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Jennifer Puac Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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

{
    "created_epoch": "1787702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787702400000",
    "number": "1104733088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3103 SEDGWICK AVE APT 7E",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104632799",
            "telephone_number": "917-588-7780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3103 SEDGWICK AVE APT 7E",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104632799",
            "telephone_number": "917-588-7780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOUGLAS",
        "first_name": "JENNIFER",
        "credential": "OTD, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-08-26",
        "last_updated": "2026-08-26",
        "certification_date": "2026-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XM0800X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Mental Health",
            "state": "NY",
            "license": "028878",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "PUAC",
            "credential": "OTD, OTR/L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Alina Douglas
• Andrew Walter Douglas, RPA-C
• Gaveral Douglas
• Gregory Landells Douglas, LCSW
• Gretchen Douglas
• Karimah Ayana Douglas, OTR
• Kemberly Douglas
• Margarette Douglas, RN
• Maria Douglas
• Naa Koryoe Douglas, NP

• Mental Health Occupational Therapist in Bronx, NY
• Providers in Bronx, NY by specialty
• Mental Health Occupational Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.