Active NPI
Jessica Kinney
- Occupational Therapist
- Cicero, NY
National Provider Identifier
1700669520
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 021215-01
- Practice address
- 5460 Meltzer CT
Cicero, NY 13039-9430 - Phone
- (315) 699-1619
- NPI assigned
- Aug 15, 2023
- Last updated
- Aug 15, 2023
- Sex
- Female
- Sole proprietor
- No
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 | 021215-01 | NY | Primary |
Addresses
Primary practice location
5460 Meltzer CT
Cicero, NY 13039-9430
Mailing address
312 David Dr
North Syracuse, NY 13212-1927
Phone (315) 263-6331
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 |
|---|---|---|---|
| 021215-01 | NY | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1692057600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692057600000",
"number": "1700669520",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "312 DAVID DR",
"city": "NORTH SYRACUSE",
"state": "NY",
"postal_code": "132121927",
"telephone_number": "315-263-6331"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5460 MELTZER CT",
"city": "CICERO",
"state": "NY",
"postal_code": "130399430",
"telephone_number": "315-699-1619"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KINNEY",
"first_name": "JESSICA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-08-15",
"last_updated": "2023-08-15",
"certification_date": "2023-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NY",
"license": "021215-01",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cicero, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.