Jillian D. Ryan, OTR

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

027166 Issued in NY

Practice address

9520 Fredonia Stockton Rd
Fredonia, NY 14063-9518

Phone

(716) 672-4371

NPI assigned

Aug 27, 2018

Last updated

Nov 8, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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)

Not enrolled

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

{
    "created_epoch": "1535328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731024000000",
    "number": "1447731518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 REESE PKWY",
            "city": "FREDONIA",
            "state": "NY",
            "postal_code": "140631638",
            "telephone_number": "716-338-8452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9520 FREDONIA STOCKTON RD",
            "city": "FREDONIA",
            "state": "NY",
            "postal_code": "140639518",
            "telephone_number": "716-672-4371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYAN",
        "first_name": "JILLIAN",
        "middle_name": "D.",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-27",
        "last_updated": "2024-11-08",
        "certification_date": "2024-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "027166",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittany Diana Rosenow, COTA
• Danielle S Ross, PMH DNP
• Mary Rudloff, PA-C
• Russell J Dipalma DDS PC
• Bridget Anne Russell, PHD CCC-SLP
• Tracey Sakpal
• Irene Victoria Salek-Raham, MS.LIC/CCC
• Warren P. Sanderson, RN
• Bryce Henry Schnaars, DPT
• Bethany Sciarrino, DPT

• Occupational Therapist in Fredonia, NY
• Providers in Fredonia, NY by specialty
• Occupational Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2024; 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.