Jessica Prawica
Individual provider Active NPI Occupational Therapist · New York, NY
NPI 1558020735 · NPPES record last updated Dec 9, 2024
Key facts
- NPI
- 1558020735
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- 46TR01069200 (NJ)
- Practice address
- 1844 2ND Ave
New York, NY 10128-3862 - Phone
- (877) 407-3422
- NPI assigned
- Dec 15, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Eastpointe Integrated Healthcare LLC
Practice addresses (Care Compare)
2373 Hwy 36
Atlantic Highlands, NJ 07716-2560
Phone (732) 872-6595
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NJ
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220824002479 | NJ | Practitioner - Occupational Therapist in Private Practice | 8729479837 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 46TR01069200 | NJ | MD | Occupational Therapist |
| 026425 | NY | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eastpointe Integrated Healthcare LLC | Current |
Accepting new patients | |
| Brielle Integrated Healthcare LLC | Current |
Accepting new patients |
Locations
2373 State Route 36
Atlantic Hlds, NJ 07716
Phone (732) 872-6595
629 Higgins Ave
Ste 2
Brielle, NJ 08730
Phone (732) 872-6595
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 46TR01069200 | NJ | Yes |
Addresses
Primary practice location
1844 2ND Ave
New York, NY 10128-3862
Mailing address
2373 NJ-36 N
Atlantic Highlands, NJ 07716
Phone (732) 872-1498
Other providers in New York, NY
- Lindsey Catherine Pratt
- Maria Pratt
- Claire Pratte
- Ariella Chana Pratzer
- Ariana Prawda
- Benjamin Pray
- Patricia Jean Precin
- Precise Surgical PC
- Precisedx Inc
- Precision Care Medical PC
All providers in New York, NY · Occupational Therapist in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 9, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.