Jill Anderson, MS, OTR

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

001113-1 Issued in NY

Practice address

404 Hempstead Ave
Rockville Centre, NY 11570-2043

Phone

(516) 536-8232

NPI assigned

Jul 26, 2007

Last updated

Jan 5, 2009By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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)

Enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1185408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1231113600000",
    "number": "1295925212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 HEMPSTEAD AVE",
            "city": "ROCKVILLE CENTRE",
            "state": "NY",
            "postal_code": "115702043",
            "telephone_number": "516-536-8232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 HEMPSTEAD AVE",
            "city": "ROCKVILLE CENTRE",
            "state": "NY",
            "postal_code": "115702043",
            "telephone_number": "516-536-8232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "JILL",
        "name_prefix": "Ms.",
        "credential": "MS, OTR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-26",
        "last_updated": "2009-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NY",
            "license": "001113-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Barbara Ambrosino, M.D.
• American Foot Care Center Li, PC
• American Imaging Associates, PC (Long Island Radiology at Rockville Centre)
• Margaret Kathryn Amodemo, NP
• Adaeze Anaekwe, DO
• Stanley S. Anderson, D.C.
• Bernard Andre, RPA-C
• Rayana Angelillo, LCSW
• Kenneth Lee Angelino, M.D.
• Angelito D. Tan, M.D., PC

• Pediatric Occupational Therapist in Rockville Centre, NY
• Providers in Rockville Centre, 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 Jan 5, 2009; 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.