Individual provider Active NPI

Jeannine Fletcher, OTR/L

  • Occupational Therapist
  • New York, NY
National Provider Identifier
1467785659
Registry record updated Sep 7, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
015057-1 Issued in NY
Practice address
147 W 35TH St
Suite 407
New York, NY 10001-2110
Phone
(917) 685-9334
NPI assigned
Sep 7, 2009
Last updated
Sep 7, 2009By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 7, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 015057-1 NY Primary

Addresses

Primary practice location

147 W 35TH St
Suite 407
New York, NY 10001-2110

Mailing address

40 Morton St
4C
New York, NY 10014-6754
Phone (917) 748-4813

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091022000170 NY Practitioner - Occupational Therapist in Private Practice 7810034923 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
015057-1NYMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
New York Physical and Occupational Therapy Services, PLLC Occupational Therapist CurrentSince May 26, 2021 Accepting new patients
B Stern Physical Therapy P.C. Occupational Therapist CurrentSince Aug 1, 2014 Accepting new patients
The Raymond Naftali Ambulatory Center for Rehabilitation Inc PastSince Jun 6, 2008 Accepting new patients
Metro Athletic Medicine & Fitness PC Occupational Therapist Past Accepting new patients
Genesis Medical Health PC Past Accepting new patients
Outreach Physical and Occupational Therapy & Speech Rehabilitation, PLLC PastSince Dec 7, 2025 Accepting new patients

Locations

2579 Ocean Ave
Fl 3
Brooklyn, NY 11229
Phone (646) 780-0925

440 Beach 21st St
Far Rockaway, NY 11691
Phone (718) 327-5500

23 Robert Pitt Dr
Ste 110
Monsey, NY 10952

25 Robert Pitt Dr
Ste 109
Monsey, NY 10952
Phone (845) 625-5812

Organizations & group practices 6

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": "1252281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1252281600000",
    "number": "1467785659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 MORTON ST",
            "address_2": "4C",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100146754",
            "telephone_number": "917-748-4813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "147 W 35TH ST",
            "address_2": "SUITE 407",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100012110",
            "telephone_number": "917-685-9334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLETCHER",
        "first_name": "JEANNINE",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-09-07",
        "last_updated": "2009-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "015057-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2009; 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.