Jessica L Woods, OT
Individual provider Active NPI Occupational Therapist · Ticonderoga, NY
NPI 1346439627 · NPPES record last updated Oct 23, 2007
Key facts
- NPI
- 1346439627
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- 014821-1 (NY)
- Practice address
- 1019 Wicker St
Ticonderoga, NY 12883-1039 - Phone
- (518) 585-3784
- Fax
- (518) 585-3899
- NPI assigned
- Oct 23, 2007
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 014821-1 | NY | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 014821-1 | NY | Yes |
Addresses
Primary practice location
1019 Wicker St
Ticonderoga, NY 12883-1039
Mailing address
1019 Wicker St
Ticonderoga, NY 12883-1039
Phone (518) 585-3784
Other providers in Ticonderoga, NY
- Kim Vilardo
- Wal-Mart Stores East LP
- Walgreen Co
- Wendy Bresett Physical Therapy, P.L.L.C.
- Hayley Jean Woods
All providers in Ticonderoga, NY · Occupational Therapist in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 23, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.