Active NPI
Jessica Taveras
- Occupational Therapist
- Hillburn, NY
National Provider Identifier
1114507019
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 025481
- Practice address
- 10B Park Ave
Hillburn, NY 10931-1050 - Phone
- (845) 825-0273
- NPI assigned
- Apr 13, 2021
- 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 | 025481 | NY | Primary |
Addresses
Primary practice location
10B Park Ave
Hillburn, NY 10931-1050
Mailing address
PO Box 353
Hillburn, NY 10931-0353
Phone (845) 825-0273
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 025481 | NY | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1618272000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1618272000000",
"number": "1114507019",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 353",
"city": "HILLBURN",
"state": "NY",
"postal_code": "109310353",
"telephone_number": "845-825-0273"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10B PARK AVE",
"city": "HILLBURN",
"state": "NY",
"postal_code": "109311050",
"telephone_number": "845-825-0273"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAVERAS",
"first_name": "JESSICA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-04-13",
"last_updated": "2021-04-13",
"certification_date": "2021-04-13",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NY",
"license": "025481",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hillburn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 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.