Organization Active NPI

Jessica Flanagan Occupational Therapy

Doing business as Mini Milestones

  • Occupational Therapist
  • Poughkeepsie, NY
National Provider Identifier
1144932856
Registry record updated Dec 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Legal business name
JESSICA FLANAGAN OCCUPATIONAL THERAPY
Doing business as
Mini Milestones
Practice address
57 Brookland Farms Rd
Poughkeepsie, NY 12601-5824
Phone
(314) 435-7195
NPI assigned
Dec 14, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2022

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

Authorized official

Name
Jessica Lee Flanagan, OTR/L
Title
Owner
Phone
(314) 435-7195

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X Primary

Addresses

Primary practice location

57 Brookland Farms Rd
Poughkeepsie, NY 12601-5824

Mailing address

57 Brookland Farms Rd
Poughkeepsie, NY 12601-5824
Phone (314) 435-7195

Other names 1

  • Mini Milestones Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1670976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670976000000",
    "number": "1144932856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "57 BROOKLAND FARMS RD",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126015824",
            "telephone_number": "314-435-7195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "57 BROOKLAND FARMS RD",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126015824",
            "telephone_number": "314-435-7195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JESSICA FLANAGAN OCCUPATIONAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-14",
        "last_updated": "2022-12-14",
        "certification_date": "2022-12-14",
        "status": "A",
        "authorized_official_last_name": "FLANAGAN",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-435-7195",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mini Milestones",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Poughkeepsie, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2022; 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.