Jacqueline Eileen Cormier, MS OT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

021743 Issued in NY

Practice address

466 W End Ave
New York, NY 10024-4943

Phone

(212) 579-3788

NPI assigned

Aug 14, 2017

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

Credentials

Master of Science

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

{
    "created_epoch": "1502668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1502668800000",
    "number": "1487170221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "735 LINCOLN AVE",
            "city": "MAYWOOD",
            "state": "NJ",
            "postal_code": "076071622",
            "telephone_number": "201-615-8660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "466 W END AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100244943",
            "telephone_number": "212-579-3788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORMIER",
        "first_name": "JACQUELINE",
        "middle_name": "EILEEN",
        "name_prefix": "Ms.",
        "credential": "MS OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-14",
        "last_updated": "2017-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "021743",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Mae Corley, M.D.
• Charles J. Corliss, PH.D.
• Beth H Corman, DC
• Andre Cormerais
• Beatrice Cormier, MD
• Beth E Corn, MD
• Fanny Corne, NP
• Blas Miguel Cornejo Esparza, MD
• Liliana Cornejo, STUDENT
• Betchie Claire Cornelio, LMHC

• Occupational Therapist in New York, NY
• Providers in New York, 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 Aug 14, 2017; 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.