Individual provider Active NPI

Janene Wittik Bockrath, OTRL

  • Occupational Therapist
  • Jamestown, NY
National Provider Identifier
1356512339
Registry record updated Mar 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
63014862 Issued in NY
Practice address
715 Falconer St
Jamestown, NY 14701-1935
Phone
(716) 665-4905
Fax
(716) 665-8055
NPI assigned
Mar 18, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 63014862 NY Primary

Addresses

Primary practice location

715 Falconer St
Jamestown, NY 14701-1935

Mailing address

715 Falconer St
Jamestown, NY 14701-1935
Phone (716) 665-4905

Other names 1

  • Janene Sue Taylor Former name

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
63014862NYMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1205798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205798400000",
    "number": "1356512339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 FALCONER ST",
            "city": "JAMESTOWN",
            "state": "NY",
            "postal_code": "147011935",
            "telephone_number": "716-665-4905",
            "fax_number": "716-665-8055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 FALCONER ST",
            "city": "JAMESTOWN",
            "state": "NY",
            "postal_code": "147011935",
            "telephone_number": "716-665-4905",
            "fax_number": "716-665-8055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOCKRATH",
        "first_name": "JANENE",
        "middle_name": "WITTIK",
        "name_prefix": "Mrs.",
        "credential": "OTRL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-18",
        "last_updated": "2008-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "63014862",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JANENE",
            "last_name": "TAYLOR",
            "middle_name": "SUE",
            "credential": "OTRL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Jamestown, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2008; 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.