Individual provider Active NPI

Jordan R Schneider, OTR/L

  • Occupational Therapist
  • Garden City, NY
National Provider Identifier
1205527090
Registry record updated Jun 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
027973 Issued in NY
Practice address
300 Garden City PLZ Ste 350
Garden City, NY 11530-3358
Phone
(516) 747-9030
NPI assigned
May 15, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 6, 2023

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 027973 NY Primary

Addresses

Primary practice location

300 Garden City PLZ Ste 350
Garden City, NY 11530-3358

Mailing address

8 Swallow LN
Huntington, NY 11743-6522
Phone (631) 827-2014

Other practice location 1

475 Northern Blvd Ste 19
Great Neck, NY 11021-4802
Phone (516) 829-0030

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230613001071 NY Practitioner - Occupational Therapist in Private Practice 9133586761 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
My Medical PCGroup PAC ID 0143610600, 93 clinicians

Practice addresses (Care Compare)

3400 Brush Hollow Rd
Westbury, NY 11590-1712
Phone (516) 334-3838

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Reddy Care Physical and Occupational Therapy PLLC CurrentSince May 8, 2023 Accepting new patients
Peyman Younesi MD PLLC CurrentSince Aug 1, 2025 Accepting new patients
My Medical PC CurrentSince Aug 1, 2025 Accepting new patients
Reddy Care Physical Therapy PC PastSince May 8, 2023 Accepting new patients

Locations

3438 Bell Blvd
Ste 301
Bayside, NY 11361

147 2nd Ave
Brentwood, NY 11717
Phone (631) 273-7204

2830 Pitkin Ave
Brooklyn, NY 11208
Phone (347) 420-8295

27278 Grand Central Pkwy
Floral Park, NY 11005
Phone (516) 344-0030

8008 45th Ave
Flushing, NY 11373
Phone (718) 373-0777

475 Northern Blvd
Ste 19
Great Neck, NY 11021
Phone (516) 344-0023

475 Northern Blvd
Ste 27
Great Neck, NY 11021

9131 175th St
Jamaica, NY 11432
Phone (340) 709-3133

45 Jericho Tpke
Jericho, NY 11753
Phone (516) 333-6400

822 Cedar Ave
Niagara Falls, NY 14301
Phone (716) 272-1207

3400 Brush Hollow Rd
Westbury, NY 11590
Phone (516) 213-1969

Organizations & group practices 4

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": "1684108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686009600000",
    "number": "1205527090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 SWALLOW LN",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117436522",
            "telephone_number": "631-827-2014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 GARDEN CITY PLZ STE 350",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115303358",
            "telephone_number": "516-747-9030"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "475 Northern Blvd Ste 19",
            "address_purpose": "LOCATION",
            "city": "Great Neck",
            "state": "NY",
            "postal_code": "110214802",
            "country_code": "US",
            "telephone_number": "516-829-0030",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHNEIDER",
        "first_name": "JORDAN",
        "middle_name": "R",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-05-15",
        "last_updated": "2023-06-06",
        "certification_date": "2023-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "027973",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garden City, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2023; 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.