Individual provider Active NPI

Jessica Enid Perez, MS OTR/L

  • Occupational Therapist
  • Fresh Meadows, NY
National Provider Identifier
1811334055
Registry record updated Mar 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
017768 Issued in NY
Practice address
198-01C 67TH Ave
Apt 1a
Fresh Meadows, NY 11365
Phone
(347) 956-6445
NPI assigned
May 29, 2013
Last updated
Mar 10, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 10, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 017768 NY Primary

Addresses

Primary practice location

198-01C 67TH Ave
Apt 1a
Fresh Meadows, NY 11365

Mailing address

198-01C 67TH Ave
Apt 1a
Fresh Meadows, NY 11365
Phone (347) 956-6445

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140730000437 NY Practitioner - Occupational Therapist in Private Practice 7911123898 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Core Therapy Services PT OT PLLCGroup PAC ID 4587041512, 28 clinicians
Visiting PT OT Services PLLCGroup PAC ID 1153721899, 22 clinicians

Practice addresses (Care Compare)

2003 Coney Island Ave
Brooklyn, NY 11223-2328
Phone (347) 394-1600

85 Roosevelt Ave
Valley Stream, NY 11581-1133
Phone (646) 886-8687

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
017768NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Visiting PT OT Services PLLC Occupational Therapist CurrentSince Jan 24, 2024 Accepting new patients
Metro Physical Occupational Speech Massage Therapy & Acupuncture PLLC Occupational Therapist CurrentSince Oct 12, 2020 Accepting new patients
Core Therapy Services PT OT PLLC Occupational Therapist CurrentSince Jun 1, 2022 Accepting new patients
Home Advantage Occupational Therapy, P.C. CurrentSince Dec 13, 2020 Accepting new patients
Patriot Family Medical Associates PLLC CurrentSince Jan 24, 2024 Accepting new patients
Precision PT, OT & SLP Services, PLLC Occupational Therapist CurrentSince Jul 28, 2019 Accepting new patients
Integrated Rehab Professionals OT PT PLLC Occupational Therapist CurrentSince Nov 4, 2022 Accepting new patients
JJW Occupational Therapy PC CurrentSince Mar 1, 2021 Accepting new patients
Optimum Therapeutics PT & OT PLLC Occupational Therapist CurrentSince Jan 1, 2021 Accepting new patients
Reliance Healthcare Occupational Therapist Past Accepting new patients
Propel Physical Therapy PC Occupational Therapist PastSince Jan 1, 2021 Accepting new patients

Locations

685 River Ave
Lakewood, NJ 08701
Phone (732) 364-3772

2003 Coney Island Ave
Brooklyn, NY 11223
Phone (347) 394-1600

800 E Gate Blvd
Garden City, NY 11530

50 Glen Cove Rd
Greenvale, NY 11548
Phone (516) 200-3545

12 Platinum Ct
Medford, NY 11763
Phone (516) 729-4834

1 Huntington Quadrangle
Ste 1S07
Melville, NY 11747
Phone (516) 222-2010

11701 84th Ave
Richmond Hill, NY 11418
Phone (718) 441-0300

85 Roosevelt Ave
Valley Stream, NY 11581
Phone (516) 791-9500

78 Stratton St S
Yonkers, NY 10701
Phone (732) 364-3772

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1369785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615334400000",
    "number": "1811334055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "198-01C 67TH AVE",
            "address_2": "APT 1A",
            "city": "FRESH MEADOWS",
            "state": "NY",
            "postal_code": "11365",
            "telephone_number": "347-956-6445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "198-01C 67TH AVE",
            "address_2": "APT 1A",
            "city": "FRESH MEADOWS",
            "state": "NY",
            "postal_code": "11365",
            "telephone_number": "347-956-6445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "JESSICA",
        "middle_name": "ENID",
        "name_prefix": "Ms.",
        "credential": "MS OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-05-29",
        "last_updated": "2021-03-10",
        "certification_date": "2020-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "017768",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresh Meadows, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.