Active NPI
Jackeline Ramirez
- Occupational Therapy Assistant
- Rockville Centre, NY
National Provider Identifier
1629962287
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 005770-01
- Practice address
- 41 Maine Ave
Rockville Centre, NY 11570-3614 - Phone
- (516) 536-7730
- NPI assigned
- Jun 6, 2025
- 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 Therapy Assistant | 224Z00000X | 005770-01 | NY | Primary |
Addresses
Primary practice location
41 Maine Ave
Rockville Centre, NY 11570-3614
Mailing address
71 W Oakdale St
Bay Shore, NY 11706-2630
Phone (347) 453-3469
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 |
|---|---|---|---|
| 005770-01 | NY | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1749168000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1749168000000",
"number": "1629962287",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "71 W OAKDALE ST",
"city": "BAY SHORE",
"state": "NY",
"postal_code": "117062630",
"telephone_number": "347-453-3469"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "41 MAINE AVE",
"city": "ROCKVILLE CENTRE",
"state": "NY",
"postal_code": "115703614",
"telephone_number": "516-536-7730"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAMIREZ",
"first_name": "JACKELINE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-06-06",
"last_updated": "2025-06-06",
"certification_date": "2025-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "NY",
"license": "005770-01",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rockville Centre, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.