Active NPI
Corrie Jacobs, OTR/L
- Occupational Therapist
- Pleasantville, NY
National Provider Identifier
1427397850
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 013188-1
- Practice address
- 141 Deerfield LN N
Pleasantville, NY 10570-1430 - Phone
- (845) 598-3731
- NPI assigned
- Feb 5, 2013
- Last updated
- May 22, 2019
- 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 | 013188-1 | NY | Primary |
Addresses
Primary practice location
141 Deerfield LN N
Pleasantville, NY 10570-1430
Mailing address
141 Deerfield LN N
Pleasantville, NY 10570-1430
Phone (845) 598-3731
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140730000700 | NY | Practitioner - Occupational Therapist in Private Practice | 5597981480 | Practice locations: Pleasantville, NY |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 013188-1 | NY | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Propel Physical Therapy PC | Occupational Therapist | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1360022400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1558483200000",
"number": "1427397850",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "141 DEERFIELD LN N",
"city": "PLEASANTVILLE",
"state": "NY",
"postal_code": "105701430",
"telephone_number": "845-598-3731"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "141 DEERFIELD LN N",
"city": "PLEASANTVILLE",
"state": "NY",
"postal_code": "105701430",
"telephone_number": "845-598-3731"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JACOBS",
"first_name": "CORRIE",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-02-05",
"last_updated": "2019-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NY",
"license": "013188-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pleasantville, NY
- Inner Lioness Enterprises, LLC
- Institutes of Applied Human Dynamics (I A H D Devito ICF)
- Integral Health Chiropractic, P.C.
- J.J. Wein OT PLLC
- Jenifer Aedra Jacobs Wein, OTR/L
- Jerome Lee Jacobs, MD
- Denise A Jaffe, M.S., C.C.C.
- James K. Zimmerman PH.D. PC
- Elizabeth Ann Jankowski, OTR/L
- Yasmin Simone Jennings
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2019; 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.