Jaclyn Campson, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

024597 Issued in NY

Practice address

4795 Peconic Bay Blvd
Laurel, NY 11948-1837

Phone

(516) 477-7829

NPI assigned

Mar 13, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Association for Children With Down Syndrome, Inc.

  • Early Intervention Provider Agency
  • Plainview, NY
  • NPI 1053552901
  NPD (past)

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

{
    "created_epoch": "1584057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775433600000",
    "number": "1710513460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4795 PECONIC BAY BLVD",
            "city": "LAUREL",
            "state": "NY",
            "postal_code": "119481837",
            "telephone_number": "516-477-7829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4795 PECONIC BAY BLVD",
            "city": "LAUREL",
            "state": "NY",
            "postal_code": "119481837",
            "telephone_number": "516-477-7829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPSON",
        "first_name": "JACLYN",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-13",
        "last_updated": "2026-04-06",
        "certification_date": "2026-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "024597",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jocelyne Andrea Alvarez, LPN
• Bellino Learning Corporation
• Constance Gonzalez, OTR/L
• Tara Lynn Kupecki, MS
• Nyla Claire Lamm, LCSW.ED.D BCBA-D LBA
• Lisa M Macaluso, M.A., BCBA
• Katelynn Moisa, M.S.

• Occupational Therapist in Laurel, NY
• Providers in Laurel, NY by specialty
• Occupational Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2026; 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.