Active NPI
Jennifer Ianda, OTR/L
- Pediatric Occupational Therapist
- Pelham, NY
National Provider Identifier
1609116409
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- 017828-1
- Practice address
- 4782 Boston Post Rd
BLDG a, Apt. 2D
Pelham, NY 10803-3047 - Phone
- (914) 738-0320
- NPI assigned
- Feb 15, 2013
- 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 |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | 017828-1 | NY | Primary |
Addresses
Primary practice location
4782 Boston Post Rd
BLDG a, Apt. 2D
Pelham, NY 10803-3047
Mailing address
4782 Boston Post Rd
BLDG a, Apt. 2D
Pelham, NY 10803-3047
Phone (914) 738-0320
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 |
|---|---|---|---|
| 017828-1 | NY | MD | Pediatric Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1360886400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1360886400000",
"number": "1609116409",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4782 BOSTON POST RD",
"address_2": "BLDG A, APT. 2D",
"city": "PELHAM",
"state": "NY",
"postal_code": "108033047",
"telephone_number": "914-738-0320"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4782 BOSTON POST RD",
"address_2": "BLDG A, APT. 2D",
"city": "PELHAM",
"state": "NY",
"postal_code": "108033047",
"telephone_number": "914-738-0320"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IANDA",
"first_name": "JENNIFER",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-02-15",
"last_updated": "2013-02-15",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "NY",
"license": "017828-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pelham, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.