Active NPI
Teresa Jabour-Blank, OTR/L
- Occupational Therapist
- New Hartford, NY
National Provider Identifier
1578856472
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 0040221
- Practice address
- 2 Talmadge CT
New Hartford, NY 13413-2722 - Phone
- (315) 723-7099
- NPI assigned
- May 25, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 0040221 | NY | Primary |
Addresses
Primary practice location
2 Talmadge CT
New Hartford, NY 13413-2722
Mailing address
2 Talmadge CT
New Hartford, NY 13413-2722
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0040221 | NY | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1306281600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1306281600000",
"number": "1578856472",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 TALMADGE CT",
"city": "NEW HARTFORD",
"state": "NY",
"postal_code": "134132722"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 TALMADGE CT",
"city": "NEW HARTFORD",
"state": "NY",
"postal_code": "134132722",
"telephone_number": "315-723-7099"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JABOUR-BLANK",
"first_name": "TERESA",
"name_prefix": "Mrs.",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-05-25",
"last_updated": "2011-05-25",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NY",
"license": "0040221",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New Hartford, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.