Active NPI
Jessica Decker
- Occupational Therapist
- Monroe, NY
National Provider Identifier
1639796121
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- Practice address
- 101 Stage Rd
Monroe, NY 10950-3512 - Phone
- (845) 827-6227
- NPI assigned
- Jun 30, 2020
- 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 | Primary |
Addresses
Primary practice location
101 Stage Rd
Monroe, NY 10950-3512
Mailing address
101 Stage Rd
Monroe, NY 10950-3512
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20201211002738 | NY | Practitioner - Occupational Therapist in Private Practice | 4385056506 | Reassigns benefits to 2 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stern at Home Physical Therapy PC | Occupational Therapist | Current | Accepting new patients |
| Comprehensive OT, PT, SLP & Adult Health NP Services, PLLC | Occupational Therapist | Current | Accepting new patients |
| Healing Therapeutics Physical Therapy Part a, PLLC | Past | Accepting new patients |
Locations
63 New Main St
Ste 1
Haverstraw, NY 10927
Phone (845) 290-9131
4 Medical Park Dr
Ste B
Pomona, NY 10970
Phone (845) 354-3131
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Occupational Therapist
- Newburgh, NY
- NPI 1619622461
NY, Occupational Therapist
-
- Physical Medicine & Rehabilitation Physician
- Pomona, NY
- NPI 1720563380
NY, Occupational Therapist
-
- Physical Therapist
- Port Chester, NY
- NPI 1396057881
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1593475200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1593475200000",
"number": "1639796121",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 STAGE RD",
"city": "MONROE",
"state": "NY",
"postal_code": "109503512"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 STAGE RD",
"city": "MONROE",
"state": "NY",
"postal_code": "109503512",
"telephone_number": "845-827-6227"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DECKER",
"first_name": "JESSICA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-06-30",
"last_updated": "2020-06-30",
"certification_date": "2020-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Monroe, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.