Jessica Lynn Gann, COTA/L

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

007091-01 Issued in NY

Practice address

159 W 1St St
Oswego, NY 13126-2045

Phone

(315) 342-9575

NPI assigned

Mar 20, 2009

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1237507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600128000000",
    "number": "1619118619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 WALNUT ST",
            "city": "ROME",
            "state": "NY",
            "postal_code": "134402638",
            "telephone_number": "315-281-3960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "159 W 1ST ST",
            "city": "OSWEGO",
            "state": "NY",
            "postal_code": "131262045",
            "telephone_number": "315-342-9575"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7286 Lake View Dr",
            "address_2": "Apt 1",
            "address_purpose": "LOCATION",
            "city": "Ava",
            "state": "NY",
            "postal_code": "133031807",
            "country_code": "US",
            "telephone_number": "315-533-1920",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GANN",
        "first_name": "JESSICA",
        "middle_name": "LYNN",
        "credential": "COTA/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-03-20",
        "last_updated": "2020-09-15",
        "certification_date": "2020-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "NY",
            "license": "007091",
            "primary": false
        },
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "NY",
            "license": "007091-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joan Marie Gallagher, M.A., CCC-SLP
• Teyler Thomas Galletta
• Edward J Galvin Jr., D.C.
• Stephanie Gamboa
• Ashton Elizabeth Gangemi, M.A.
• Kara Gantos, M.S. OTR/L
• Elizabeth A Gardner
• Tammy Lynn Gardner, LPN
• Leila Rose Gardooni
• Gretchen Ann Garland

• Occupational Therapy Assistant in Oswego, NY
• Providers in Oswego, NY by specialty
• Occupational Therapy Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.