Jessica Deiro Berryessa, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

024782 Issued in NY

Practice address

799 President St Apt 2
Brooklyn, NY 11215-1373

Phone

(949) 400-1583

NPI assigned

Jul 3, 2020

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)

Enrolled

State licenses

Practice roles

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.

• Functional Living Occupational Therapy, P.L.L.C.

  • Occupational Therapist
  • Brooklyn, NY
  • NPI 1093381147
  NPD Authorized official

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

{
    "created_epoch": "1593734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593734400000",
    "number": "1467079657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "799 PRESIDENT ST APT 2",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112151373",
            "telephone_number": "949-400-1583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "799 PRESIDENT ST APT 2",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112151373",
            "telephone_number": "949-400-1583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERRYESSA",
        "first_name": "JESSICA",
        "middle_name": "DEIRO",
        "name_prefix": "Ms.",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-03",
        "last_updated": "2020-07-03",
        "certification_date": "2020-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "024782",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mariel Berry
• Racquel Berry
• Richard S Berry, MD
• Sabrina Lynette Berry
• Shonda K Berry, LCSW
• Natalie Navarrete Bersamin, RPAC
• Alexander Bershadskiy, M.D.
• Rona Lee Bershadsky, M.S, ED.
• Ashley Linda Gray Bersma, MD
• Bethanie Shana Berson, RN, PMHNP

• Occupational Therapist in Brooklyn, NY
• Providers in Brooklyn, 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 Jul 3, 2020; 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.