Jaclyn Gail Butensky, MS, OTR/L

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

023016 Issued in NY

Practice address

15050 14TH Rd
Whitestone, NY 11357-2609

Phone

(718) 767-0071

NPI assigned

Oct 25, 2018

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)

Enrolled

Credentials

Master of Science

Practice roles

Locations

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.

• Fox Rehabilitation Physical Therapy Services LLC

  • Physical Therapist
  • New York, NY
  • NPI 1174560650
  NPD

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

{
    "created_epoch": "1540425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540425600000",
    "number": "1750858965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 BRAYTON CT S",
            "city": "SOUTH SETAUKET",
            "state": "NY",
            "postal_code": "117204626",
            "telephone_number": "631-880-1819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15050 14TH RD",
            "city": "WHITESTONE",
            "state": "NY",
            "postal_code": "113572609",
            "telephone_number": "718-767-0071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTENSKY",
        "first_name": "JACLYN",
        "middle_name": "GAIL",
        "name_prefix": "Ms.",
        "credential": "MS, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-25",
        "last_updated": "2018-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NY",
            "license": "023016",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nayab Browne
• Mariana Bulko
• Caitlin M Burke
• Megan Burke
• Theda Burrell
• Daniel J Byrns, MD
• Julia Madelyn Caballer
• Jenna Marie Cabarcas, M.A. SLP
• Lourell Campbell
• Stephanie Priscilla Cando

• Pediatric Occupational Therapist in Whitestone, NY
• Providers in Whitestone, NY by specialty
• Pediatric Occupational Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2018; 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.