Elisa Ann Jacobs, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

004403-1 Issued in NY

Practice address

Golisano Restorative Neurology & Rehab
1555 Long Pond Rd
Rochester, NY 14626

Phone

(585) 755-6764

NPI assigned

Aug 2, 2021

Last updated

Aug 2, 2021By the provider in NPPES

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

Electronic endpoints 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1627862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627862400000",
    "number": "1114691383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224 PINEWOOD TRL",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146172624",
            "telephone_number": "585-755-6764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "GOLISANO RESTORATIVE NEUROLOGY & REHAB",
            "address_2": "1555 LONG POND RD",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "14626",
            "telephone_number": "585-755-6764"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Monroe Community Hospital - OT Fa5W",
            "address_2": "435 East Henrietta Road",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NY",
            "postal_code": "146204684",
            "country_code": "US",
            "telephone_number": "585-755-6764",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JACOBS",
        "first_name": "ELISA",
        "middle_name": "ANN",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-02",
        "last_updated": "2021-08-02",
        "certification_date": "2021-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "004403-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "elisa.jacobs@rochesterregional.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "Golisano Restorative Neurology & Rehab",
            "address_2": "1555 Long Pond Rd",
            "city": "Rochester",
            "state": "NY",
            "country_code": "US",
            "postal_code": "14626",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "ejacobs@monroehosp.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "Monroe Community Hospital - OT Fa5W",
            "address_2": "435 East Henrietta Road",
            "city": "Rochester",
            "state": "NY",
            "country_code": "US",
            "postal_code": "146204684",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Seth Christopher Jacob-Wagner, NP
• Tom Jacob, DO
• Andree Jacobs-Perkins, M.D.
• Carolyn Yvette Jacobs, MD
• Diane Catherine Jacobs, PHD
• Isaac John Jacobs, LCSW
• Isabel Anna Jacobs, M.A., SLP
• Marie Louise Jacobs, MD
• Michael Jose Jacobs, M.D
• Trinity Jacobs, PA-C

• Occupational Therapist in Rochester, NY
• Providers in Rochester, NY by specialty
• Occupational Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 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.

Verify at the official NPI Registry.