Miranda Jobson

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

P129517 Issued in NY

Practice address

3767 Delaware Ave
Kenmore, NY 14217-1040

Phone

(716) 874-6175

NPI assigned

Jul 18, 2024

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Associated Physical & Occupational Therapists, PLLC

  • Occupational Therapist
  • Kenmore, NY
  • NPI 1538378039
  NPD (past)

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

{
    "created_epoch": "1721260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721260800000",
    "number": "1235977620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 WELLINGTON AVE",
            "city": "TONAWANDA",
            "state": "NY",
            "postal_code": "142232517",
            "telephone_number": "716-936-0058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3767 DELAWARE AVE",
            "city": "KENMORE",
            "state": "NY",
            "postal_code": "142171040",
            "telephone_number": "716-874-6175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOBSON",
        "first_name": "MIRANDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-18",
        "last_updated": "2024-07-18",
        "certification_date": "2024-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NY",
            "license": "P129517",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Breanne Finucane Jeffrey, RPA-C
• Ebony L Jenkins
• Natalie Rose Jennings, OTR/L
• Natalie Ann Jetter, DPT
• Camille Aleah Jividen
• Patrick Johel
• Raemell Cherrod Johnson, LMT
• Teresa Marie Johnson, LCSW
• Leta Ann Jones
• Kwang Joo, MD

• Pediatric Occupational Therapist in Kenmore, NY
• Providers in Kenmore, NY by specialty
• Pediatric Occupational Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.