Active NPI
Jennifer Mathew
- Occupational Therapist
- New City, NY
National Provider Identifier
1205643111
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 029072
- Practice address
- 20 Crambrook Rd
New City, NY 10956-4702 - Phone
- (845) 608-5588
- NPI assigned
- Dec 13, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 029072 | NY | Primary |
Addresses
Primary practice location
20 Crambrook Rd
New City, NY 10956-4702
Mailing address
20 Crambrook Rd
New City, NY 10956-4702
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
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
Practice addresses (Care Compare)
233 N Main St
New City, NY 10956-4018
Phone (845) 317-0173
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stern at Home Physical Therapy PC | Occupational Therapist | Current | Accepting new patients |
| Affinity Rehabilitation LLP | Current | Accepting new patients |
Locations
500 N Columbus Ave
Mount Vernon, NY 10552
Phone (914) 266-3796
4 Medical Park Dr
Ste B
Pomona, NY 10970
Phone (845) 354-3131
1 Johnsarbor Dr W
Rochester, NY 14620
Phone (585) 532-7214
Organizations & group practices 2
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.
-
- Physical Therapy Clinic/Center
- Dewitt, NY
- NPI 1346530169
-
- Physical Medicine & Rehabilitation Physician
- Pomona, NY
- NPI 1720563380
Occupational Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1734048000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1734048000000",
"number": "1205643111",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20 CRAMBROOK RD",
"city": "NEW CITY",
"state": "NY",
"postal_code": "109564702"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 CRAMBROOK RD",
"city": "NEW CITY",
"state": "NY",
"postal_code": "109564702",
"telephone_number": "845-608-5588"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATHEW",
"first_name": "JENNIFER",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-12-13",
"last_updated": "2024-12-13",
"certification_date": "2024-12-13",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NY",
"license": "029072",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New City, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2024; 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.