Jacqueline Anna Rutt, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

011043-1 Issued in NY

Practice address

233 Greeley Ave
Sayville, NY 11782-2301

Phone

(631) 750-3099

NPI assigned

Apr 28, 2011

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

Enrolled in NY

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Epic Medical Services PC

  • Specialist
  • East Meadow, NY
  • NPI 1134589609
  Medicare reassignment NPD

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

{
    "created_epoch": "1303948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1303948800000",
    "number": "1467743112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "233 GREELEY AVE",
            "city": "SAYVILLE",
            "state": "NY",
            "postal_code": "117822301",
            "telephone_number": "631-750-3099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "233 GREELEY AVE",
            "city": "SAYVILLE",
            "state": "NY",
            "postal_code": "117822301",
            "telephone_number": "631-750-3099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUTT",
        "first_name": "JACQUELINE",
        "middle_name": "ANNA",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-28",
        "last_updated": "2011-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "011043-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victoria Ruocco, MS, BCBA, LBA
• Jessica Ruotolo
• Alexa Therese Russo-Sanchez
• Amanda B Russo, D.C.
• Kristen M Russo, TVI
• Karen Salzberg, MS,RD,CDN
• Sara Desantis DDS PC
• Sara Desantis DDS PC
• Anna Satalino, PH.D.
• Amanda Kathryn Saville, OTR/L

• Occupational Therapist in Sayville, NY
• Providers in Sayville, 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 Apr 28, 2011; 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.