Jessica Kolodin, OTR/L

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

018723 Issued in NY

Practice address

110 3Rd Ave Apt 7B
New York, NY 10003

Phone

(216) 233-5700

NPI assigned

Apr 1, 2014

Last updated

Aug 27, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

State licenses

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

{
    "created_epoch": "1396310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535328000000",
    "number": "1477971042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 3RD AVE APT 7B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100035548",
            "telephone_number": "216-233-5700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 3RD AVE APT 7B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10003",
            "telephone_number": "216-233-5700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "150 W 92nd St",
            "address_2": "Suite BB",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100257516",
            "country_code": "US",
            "telephone_number": "212-595-1705",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOLODIN",
        "first_name": "JESSICA",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-04-01",
        "last_updated": "2018-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NY",
            "license": "018723",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marisa A Kollmeier, MD
• Pranav Kolluru, MD
• Elizabeth Kolod
• Susan Kolod, PH.D.
• Lauren Jean Kolodge
• Olivia Kolodka, MD
• Debra Quinn Kolodner, MD MPH
• Edwin Kolodny, M.D.
• Erwin Kolodny, M.D.
• Julia Kolodny

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2018; 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.