Active NPI
Antonio Jeraci, OTR
- Occupational Therapist
- Yonkers, NY
National Provider Identifier
1588970214
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 009165-1
- Practice address
- 127 S Broadway
Yonkers, NY 10701-4006 - Phone
- (914) 378-7573
- NPI assigned
- Aug 18, 2010
- Last updated
- Aug 18, 2010
- Sex
- Male
- Sole proprietor
- No
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 | 009165-1 | NY | Primary |
Addresses
Primary practice location
127 S Broadway
Yonkers, NY 10701-4006
Mailing address
532 Valley Ave
Yonkers, NY 10703-1910
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 |
|---|---|---|---|
| 009165-1 | NY | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1282089600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1282089600000",
"number": "1588970214",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "532 VALLEY AVE",
"city": "YONKERS",
"state": "NY",
"postal_code": "107031910"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "127 S BROADWAY",
"city": "YONKERS",
"state": "NY",
"postal_code": "107014006",
"telephone_number": "914-378-7573"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JERACI",
"first_name": "ANTONIO",
"credential": "OTR",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-08-18",
"last_updated": "2010-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NY",
"license": "009165-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Yonkers, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.