Active NPI
Jodie O'Connell-Ponkos, OTR/L
- Occupational Therapist
- Watervliet, NY
National Provider Identifier
1386370880
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 029700
- Practice address
- 11 Haswell Rd
Watervliet, NY 12189-1302 - Phone
- (518) 273-4911
- NPI assigned
- Jul 27, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 029700 | NY | Primary |
Addresses
Primary practice location
11 Haswell Rd
Watervliet, NY 12189-1302
Mailing address
406 Old Post Rd Stop 24
Ghent, NY 12075-3604
Phone (518) 610-4408
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
| License | State | Type | Specialty |
|---|---|---|---|
| 029700 | NY | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Colman'S Home Inc. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- Watervliet, NY
- NPI 1144351339
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1658880000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1761523200000",
"number": "1386370880",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "406 OLD POST RD STOP 24",
"city": "GHENT",
"state": "NY",
"postal_code": "120753604",
"telephone_number": "518-610-4408"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11 HASWELL RD",
"city": "WATERVLIET",
"state": "NY",
"postal_code": "121891302",
"telephone_number": "518-273-4911"
}
],
"practiceLocations": [],
"basic": {
"last_name": "O'CONNELL-PONKOS",
"first_name": "JODIE",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-07-27",
"last_updated": "2025-10-27",
"certification_date": "2025-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NY",
"license": "029700",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Watervliet, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.