Individual provider Active NPI

Jennifer Ronan, MS,OTR-L

  • Occupational Therapist
  • East Syracuse, NY
National Provider Identifier
1124494950
Registry record updated Aug 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
019914 Issued in NY
Practice address
6575 Kirkville Rd
East Syracuse, NY 13057-9809
Phone
(315) 727-8682
NPI assigned
Aug 16, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 019914 NY Primary

Addresses

Primary practice location

6575 Kirkville Rd
East Syracuse, NY 13057-9809

Mailing address

8234 Trellis Brook LN
Liverpool, NY 13090-6812
Phone (315) 727-8682

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
019914NYMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Hear 2 Learn PLLC Audiology and Speech/Language Pathology Occupational Therapist Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1439683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439683200000",
    "number": "1124494950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8234 TRELLIS BROOK LN",
            "city": "LIVERPOOL",
            "state": "NY",
            "postal_code": "130906812",
            "telephone_number": "315-727-8682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6575 KIRKVILLE RD",
            "city": "EAST SYRACUSE",
            "state": "NY",
            "postal_code": "130579809",
            "telephone_number": "315-727-8682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RONAN",
        "first_name": "JENNIFER",
        "name_prefix": "Mrs.",
        "credential": "MS,OTR-L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-16",
        "last_updated": "2015-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "019914",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Syracuse, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2015; 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.