Jennifer L Motta-Conklin, OT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

007348 Issued in NY

Practice address

20 Walnut St
Suite D
Montgomery, NY 12549-2260

Phone

(845) 457-5555

Fax

(845) 457-5556

NPI assigned

Aug 4, 2006

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

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 1995

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Group practices

Montefiore Medical CenterGroup PAC ID 3779496021, 2,809 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Networks

• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H3359

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.

• Montefiore Medical Center

  • Anesthesiology Physician
  • Bronx, NY
  • NPI 1063525152
  Medicare reassignment Care Compare group NPD
• Access PT, OT, New York, PLLC

  • Physical Therapist
  • New City, NY
  • NPI 1831539493
  Medicare reassignment NPD
• Stern at Home Physical Therapy PC

  dba Stern At Home Therapy

  • Physical Medicine & Rehabilitation Physician
  • Pomona, NY
  • NPI 1720563380

  Occupational Therapist

  Medicare reassignment NPD
• Montefiore Medical Center

  dba Montefiore Community Pharmacy @ CHAM

  • Community/Retail Pharmacy
  • Bronx, NY
  • NPI 1194183715
  NPD
• Montgomery Physical Therapy & Wellness PC

  dba Access Physical Therapy & Wellness

  • Physical Therapist
  • Montgomery, NY
  • NPI 1942239850
  NPD (past)

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208131200000",
    "number": "1164430823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 WALNUT ST",
            "address_2": "SUITE B",
            "city": "MONTGOMERY",
            "state": "NY",
            "postal_code": "125492230",
            "telephone_number": "845-457-5555",
            "fax_number": "845-457-5556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 WALNUT ST",
            "address_2": "SUITE D",
            "city": "MONTGOMERY",
            "state": "NY",
            "postal_code": "125492260",
            "telephone_number": "845-457-5555",
            "fax_number": "845-457-5556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOTTA-CONKLIN",
        "first_name": "JENNIFER",
        "middle_name": "L",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-04",
        "last_updated": "2008-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "007348",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Montgomery Nursing Home
• Montgomery Operating Co LLC
• Montgomery Physical Therapy & Wellness PC (Access Physical Therapy & Wellness)
• Montgomery Village Pharmacy Inc (Montgomery Village Pharmacy)
• Millicent Evadne Morgan, LPN
• Chelsea Rae Munkelt, CNM
• Lauren Teresa Nicholson, P.T.
• Beth Nielsen, BSHA
• Gail E Nozell, SLP
• Maryethel Nutt, M.S ED

• Occupational Therapist in Montgomery, NY
• Providers in Montgomery, 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 Apr 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.