Jennifer Tuttle, OTR
Individual provider Active NPI Occupational Therapist · Stormville, NY
NPI 1669915245 · NPPES record last updated Nov 30, 2016
Key facts
- NPI
- 1669915245
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- 021090 (NY)
- Practice address
- 63 Nathan Hale Dr
Stormville, NY 12582-5622 - Phone
- (914) 523-1986
- NPI assigned
- Nov 30, 2016
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 021090 | NY | MD | Physician Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 021090 | NY | Yes |
Addresses
Primary practice location
63 Nathan Hale Dr
Stormville, NY 12582-5622
Mailing address
63 Nathan Hale Dr
Stormville, NY 12582-5622
Phone (914) 523-1986
Other providers in Stormville, NY
- Jeanette Pratts
- Nequassa Robertson
- Salina Rosenthal
- State of New York Office of State Comptroller
- Roger Allen Szafranski
- Awilda Vasquez
- Joanne Young
- John L Zboinski
All providers in Stormville, NY · Occupational Therapist in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 30, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.