Active NPI
Erinn Jacobi, OTR/L
- Occupational Therapist
- Queensbury, NY
National Provider Identifier
1740603695
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 018574
- Practice address
- 133 Aviation Rd
Queensbury, NY 12804-8206 - Phone
- (518) 798-0170
- Fax
- (518) 798-0533
- NPI assigned
- Jan 29, 2014
- Last updated
- Jan 29, 2014
- 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 | 018574 | NY | Primary |
Addresses
Primary practice location
133 Aviation Rd
Queensbury, NY 12804-8206
Mailing address
133 Aviation Rd
Queensbury, NY 12804-8206
Phone (518) 798-0170
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 |
|---|---|---|---|
| 018574 | NY | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1390953600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1390953600000",
"number": "1740603695",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "133 AVIATION RD",
"city": "QUEENSBURY",
"state": "NY",
"postal_code": "128048206",
"telephone_number": "518-798-0170",
"fax_number": "518-798-0533"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "133 AVIATION RD",
"city": "QUEENSBURY",
"state": "NY",
"postal_code": "128048206",
"telephone_number": "518-798-0170",
"fax_number": "518-798-0533"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JACOBI",
"first_name": "ERINN",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-01-29",
"last_updated": "2014-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NY",
"license": "018574",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Queensbury, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.