Organization Active NPI

On the Ball Occupational Therapy PLLC

  • Occupational Therapist
  • Suffern, NY
National Provider Identifier
1407255789
Registry record updated Dec 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Legal business name
ON THE BALL OCCUPATIONAL THERAPY PLLC
Practice address
56 Pomona Rd
Suffern, NY 10901-1800
Phone
(845) 362-5555
NPI assigned
Aug 22, 2014
Last updated
Dec 15, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2021

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

Authorized official

Name
Elisheva Chana Jacobson, OTR/LNPI 1558516740
Title
Occupational Therapist
Phone
(845) 362-5555

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X Primary

Addresses

Primary practice location

56 Pomona Rd
Suffern, NY 10901-1800

Mailing address

56 Pomona Rd
Suffern, NY 10901-1800
Phone (845) 307-7200

Other practice location 1

21 Allik Way
Spring Valley, NY 10977-8960
Phone (845) 307-7200

Other practice location 2

2 Kerestier Ct
Kiryas Joel, NY 10950-1929
Phone (845) 307-7200

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://www.kareo.com/

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220425000018 NY Part B Supplier - Physical/Occupational Therapy Group in Private Practice 1850788753 Receives reassigned benefits from 5 practitioners
Practice locations: Suffern, NY; Spring Valley, NY; New City, NY; Monsey, NY; Monroe, NY

National Provider Directory

National Provider Directory

Locations

20 Ashel Ln
Monsey, NY 10952

22 Ashel Ln
Monsey, NY 10952

229 Maple Ave
Monsey, NY 10952

315 N Main St
New City, NY 10956

3 N Cole Ave
Spring Valley, NY 10977

48 Grandview Ave
Spring Valley, NY 10977

667 New Hempstead Rd
Spring Valley, NY 10977

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1408665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639526400000",
    "number": "1407255789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "56 POMONA RD",
            "city": "SUFFERN",
            "state": "NY",
            "postal_code": "109011800",
            "telephone_number": "845-307-7200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "56 POMONA RD",
            "city": "SUFFERN",
            "state": "NY",
            "postal_code": "109011800",
            "telephone_number": "845-362-5555"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "21 Allik Way",
            "address_purpose": "LOCATION",
            "city": "Spring Valley",
            "state": "NY",
            "postal_code": "109778960",
            "country_code": "US",
            "telephone_number": "845-307-7200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2 Kerestier Ct",
            "address_purpose": "LOCATION",
            "city": "Kiryas Joel",
            "state": "NY",
            "postal_code": "109501929",
            "country_code": "US",
            "telephone_number": "845-307-7200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ON THE BALL OCCUPATIONAL THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-22",
        "last_updated": "2021-12-15",
        "certification_date": "2021-12-15",
        "status": "A",
        "authorized_official_last_name": "JACOBSON",
        "authorized_official_first_name": "ELISHEVA",
        "authorized_official_middle_name": "CHANA",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "845-362-5555",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.kareo.com/",
            "affiliation": "N",
            "address_1": "56 Pomona Rd",
            "city": "Suffern",
            "state": "NY",
            "country_code": "US",
            "postal_code": "109011800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Suffern, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.