Individual provider Active NPI

Jennifer McCasland, OTA

  • Occupational Therapy Assistant
  • West Chazy, NY
National Provider Identifier
1326429283
Registry record updated Nov 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
P97060 Issued in NY
Practice address
37 Eagle Way
West Chazy, NY 12992
Phone
(518) 324-3520
Fax
(518) 324-3698
NPI assigned
Jun 16, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X P97060 NY Primary

Addresses

Primary practice location

37 Eagle Way
West Chazy, NY 12992

Mailing address

37 Eagle Way
West Chazy, NY 12992-2562
Phone (518) 324-3520

Other practice location 1

37 Eagle Way
West Chazy, NY 12992
Phone (518) 324-3520

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

LicenseStateTypeSpecialty
P97060NYMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Beekmantown Central School District PastSince Nov 24, 2019 Accepting new patients
North Country Kids Inc. PastSince Dec 21, 2021 Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1434412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574121600000",
    "number": "1326429283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37 EAGLE WAY",
            "city": "WEST CHAZY",
            "state": "NY",
            "postal_code": "129922562",
            "telephone_number": "518-324-3520",
            "fax_number": "518-324-3698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 EAGLE WAY",
            "city": "WEST CHAZY",
            "state": "NY",
            "postal_code": "12992",
            "telephone_number": "518-324-3520",
            "fax_number": "518-324-3698"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "37 Eagle Way",
            "address_purpose": "LOCATION",
            "city": "West Chazy",
            "state": "NY",
            "postal_code": "12992",
            "country_code": "US",
            "telephone_number": "518-324-3520",
            "fax_number": "518-324-3698",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCASLAND",
        "first_name": "JENNIFER",
        "credential": "OTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-16",
        "last_updated": "2019-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "NY",
            "license": "P97060",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Chazy, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2019; 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.