Active NPI
Jean M O'Connor, OTR, CHT, CLT
- Occupational Therapist
- Allegany, NY
National Provider Identifier
1740294982
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 004287
- Practice address
- 112 W Main St
Allegany, NY 14706-1204 - Phone
- (716) 373-9050
- Fax
- (716) 373-2050
- NPI assigned
- Jul 27, 2006
- Last updated
- Jul 8, 2007
- 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 | 004287 | NY | Primary |
Addresses
Primary practice location
112 W Main St
Allegany, NY 14706-1204
Mailing address
774 Fairmount Ave
Jamestown, NY 14701-2609
Phone (716) 665-1166
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02341555 | Medicaid | NY |
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 |
|---|---|---|---|
| 004287 | NY | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153958400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1740294982",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "774 FAIRMOUNT AVE",
"city": "JAMESTOWN",
"state": "NY",
"postal_code": "147012609",
"telephone_number": "716-665-1166",
"fax_number": "716-665-1160"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "112 W MAIN ST",
"city": "ALLEGANY",
"state": "NY",
"postal_code": "147061204",
"telephone_number": "716-373-9050",
"fax_number": "716-373-2050"
}
],
"practiceLocations": [],
"basic": {
"last_name": "O'CONNOR",
"first_name": "JEAN",
"middle_name": "M",
"credential": "OTR, CHT, CLT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-27",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NY",
"license": "004287",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02341555",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Allegany, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.