Jacqueline Michele Pestano, OTR/L

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

016466-1 Issued in NY

Practice address

17604 145TH Ave
Jamaica, NY 11434-4906

Phone

(347) 369-8377

NPI assigned

Aug 10, 2012

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

State licenses

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

{
    "created_epoch": "1344556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344556800000",
    "number": "1407103245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17604 145TH AVE",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114344906",
            "telephone_number": "347-369-8377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17604 145TH AVE",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114344906",
            "telephone_number": "347-369-8377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PESTANO",
        "first_name": "JACQUELINE",
        "middle_name": "MICHELE",
        "name_prefix": "Ms.",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-08-10",
        "last_updated": "2012-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NY",
            "license": "016466-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Personal Touch Home Care of New York, Inc.
• Personal Touch Home Care of New York, Inc.
• Personal Touch Home Care of Ny Inc
• Personal-Touch Home Care of N.Y. Inc.
• Allison Ruth Pescovitz, M.D.
• Wilhelmina Peters
• Marysee Peterson, LPN
• Sachidanand Rao Peteru, M.D.
• Margaret A Petrosino, LMSW
• Tamara Viktory Petrosyan, O.D.

• Pediatric Occupational Therapist in Jamaica, NY
• Providers in Jamaica, 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 Aug 10, 2012; 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.