Active NPI
Jacquelyn Marie Lazzaro, OTD, OTR/L
- Occupational Therapist
- Rochester, NY
National Provider Identifier
1225553795
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 026291
- Practice address
- 1555 Long Pond Rd
Rochester, NY 14626-4164 - Phone
- (585) 723-7000
- NPI assigned
- Aug 7, 2017
- Sex
- Female
- Sole proprietor
- No
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 | 026291 | NY | Primary |
Addresses
Primary practice location
1555 Long Pond Rd
Rochester, NY 14626-4164
Mailing address
25 Hearthstone LN
Rochester, NY 14617-2012
Phone (516) 680-8503
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 026291 | NY | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1502064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1768348800000",
"number": "1225553795",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25 HEARTHSTONE LN",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146172012",
"telephone_number": "516-680-8503"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1555 LONG POND RD",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146264164",
"telephone_number": "585-723-7000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAZZARO",
"first_name": "JACQUELYN",
"middle_name": "MARIE",
"credential": "OTD, OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-08-07",
"last_updated": "2026-01-14",
"certification_date": "2026-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NY",
"license": "026291",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rochester, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.