Individual provider Active NPI

Jessica Whalen, OTR/L

  • Occupational Therapist
  • Massapequa, NY
National Provider Identifier
1497455463
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
027108 Issued in NY
Practice address
123 Hunter Ridge Rd N
Massapequa, NY 11758-2706
Phone
(516) 761-8732
NPI assigned
Mar 7, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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 027108 NY Primary

Addresses

Primary practice location

123 Hunter Ridge Rd N
Massapequa, NY 11758-2706

Mailing address

123 Hunter Ridge Rd N
Massapequa, NY 11758-2706
Phone (516) 761-8732

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230330001149 NY Practitioner - Occupational Therapist in Private Practice 3870967052

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ny PT and OT PLLC Occupational Therapist CurrentSince Mar 13, 2023 Accepting new patients

Locations

1250 Waters Pl
Ste 903
Bronx, NY 10461
Phone (516) 358-8911

820 Hempstead Tpke
Franklin Square, NY 11010
Phone (516) 216-5230

650 Wantagh Ave
Ste 2
Levittown, NY 11756
Phone (516) 520-7200

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1678147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1497455463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 HUNTER RIDGE RD N",
            "city": "MASSAPEQUA",
            "state": "NY",
            "postal_code": "117582706",
            "telephone_number": "516-761-8732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 HUNTER RIDGE RD N",
            "city": "MASSAPEQUA",
            "state": "NY",
            "postal_code": "117582706",
            "telephone_number": "516-761-8732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHALEN",
        "first_name": "JESSICA",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-07",
        "last_updated": "2023-03-07",
        "certification_date": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "027108",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Massapequa, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.