Jessica L Reid

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

018166-1 Issued in NY

Practice address

501 Fair Oak St
Little Valley, NY 14755-1120

Phone

(716) 938-6499

NPI assigned

May 16, 2013

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• State of New York Comptrollers Office

  • Developmental Disabilities Clinic/Center
  • Staten Island, NY
  • NPI 1750469912
  Medicare reassignment
• State of New York Comptrollers Office

  • Developmental Disabilities Clinic/Center
  • East Syracuse, NY
  • NPI 1114067915
  NPD
• Bloom Creative Arts and Therapy Clinic

  • Early Intervention Provider Agency
  • Derby, NY
  • NPI 1215467188
  NPD (past)
• Bloomiverse, LLC

  • Music Therapist
  • Derby, NY
  • NPI 1225566268
  NPD (past)
• State of New York Comptrollers Office

  • Developmental Disabilities Clinic/Center
  • Little Valley, NY
  • NPI 1902034176
  NPD (past)

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

{
    "created_epoch": "1368662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582761600000",
    "number": "1235575317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3804 GOWANDA ZOAR RD",
            "city": "GOWANDA",
            "state": "NY",
            "postal_code": "140709733",
            "telephone_number": "716-532-5433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 FAIR OAK ST",
            "city": "LITTLE VALLEY",
            "state": "NY",
            "postal_code": "147551120",
            "telephone_number": "716-938-6499"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7821 Erie Rd",
            "address_purpose": "LOCATION",
            "city": "Derby",
            "state": "NY",
            "postal_code": "140479502",
            "country_code": "US",
            "telephone_number": "716-549-0585",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REID",
        "first_name": "JESSICA",
        "middle_name": "L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-16",
        "last_updated": "2020-02-27",
        "certification_date": "2020-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "018166-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Labuhn
• Rae Louise Light, MSED
• Thomas G Malanowski, PA
• Tiffany Marie Morton, LPN
• Leslie Pascoe
• Holly S. Reslink, DPT, ATC
• State of New York Comptrollers Office
• Nina Valler, OTR/L
• Cynthia Irene Wilson, SPECIAL INSTRUCTOR

• Occupational Therapist in Little Valley, NY
• Providers in Little Valley, 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 Feb 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.