Jessica Golde, OTR/L
Individual provider Active NPI Occupational Therapist · Garrison, NY
NPI 1174814263 · NPPES record last updated Apr 25, 2011
Key facts
- NPI
- 1174814263
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- 0155091 (NY)
- Practice address
- 95 Canopus Hill Rd
Garrison, NY 10524-3928 - Phone
- (845) 424-3349
- NPI assigned
- Apr 25, 2011
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0155091 | NY | MD | Occupational Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 0155091 | NY | Yes |
Addresses
Primary practice location
95 Canopus Hill Rd
Garrison, NY 10524-3928
Mailing address
95 Canopus Hill Rd
Garrison, NY 10524-3928
Other providers in Garrison, NY
- Garrison Volunteer Ambulance Corp
- David P Gerber
- Sezelle Gereau
- Gergely Pediatrics PC
- Peter E Gergely
- Sofia Granieri
- Brian Hakoun
- Stuart Hakoun
- Tina Hakoun
- John T Hammer
All providers in Garrison, NY · Occupational Therapist in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 25, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.