Active NPI
Jeannett Llave
- Occupational Therapist
- Great Neck, NY
National Provider Identifier
1114523180
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 025127
- Practice address
- 475 Northern Blvd
Great Neck, NY 11021-4819 - Phone
- (718) 650-6230
- NPI assigned
- Dec 7, 2020
- 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 Therapist | 225X00000X | 025127 | NY | Primary |
Addresses
Primary practice location
475 Northern Blvd
Great Neck, NY 11021-4819
Mailing address
9906 58TH Ave Apt 1H
Corona, NY 11368-3701
Phone (347) 935-7189
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1607299200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1607299200000",
"number": "1114523180",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9906 58TH AVE APT 1H",
"city": "CORONA",
"state": "NY",
"postal_code": "113683701",
"telephone_number": "347-935-7189"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "475 NORTHERN BLVD",
"city": "GREAT NECK",
"state": "NY",
"postal_code": "110214819",
"telephone_number": "718-650-6230"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LLAVE",
"first_name": "JEANNETT",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-12-07",
"last_updated": "2020-12-07",
"certification_date": "2020-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NY",
"license": "025127",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Great Neck, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.