Jessica Ilana Smuckler, MS, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

018402-1 Issued in NY

Practice address

90 S Park Ave Apt C2
Rockville Centre, NY 11570

Phone

(516) 578-4118

NPI assigned

Oct 10, 2018

Last updated

Oct 10, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

State licenses

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

{
    "created_epoch": "1539129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539129600000",
    "number": "1811462419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 S PARK AVE APT C2",
            "city": "ROCKVILLE CENTRE",
            "state": "NY",
            "postal_code": "115706113",
            "telephone_number": "516-578-4118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 S PARK AVE APT C2",
            "city": "ROCKVILLE CENTRE",
            "state": "NY",
            "postal_code": "11570",
            "telephone_number": "516-578-4118"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "90 South Park avenue apt c2",
            "address_purpose": "LOCATION",
            "city": "Rockville centre",
            "state": "NY",
            "postal_code": "115701157",
            "country_code": "US",
            "telephone_number": "516-578-4118",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "90 South Park avenue apt c2",
            "address_purpose": "LOCATION",
            "city": "Rockville centre",
            "state": "NY",
            "postal_code": "115701157",
            "country_code": "US",
            "telephone_number": "516-578-4118",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "90 South Park avenue apt c2",
            "address_purpose": "LOCATION",
            "city": "Rockville centre",
            "state": "NY",
            "postal_code": "115701157",
            "country_code": "US",
            "telephone_number": "516-578-4118",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "90 South Park avenue apt c2",
            "address_purpose": "LOCATION",
            "city": "Rockville centre",
            "state": "NY",
            "postal_code": "115701157",
            "country_code": "US",
            "telephone_number": "516-578-4118",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "90 S Park Ave Apt C2",
            "address_purpose": "LOCATION",
            "city": "Rockville Centre",
            "state": "NY",
            "postal_code": "115706113",
            "country_code": "US",
            "telephone_number": "516-578-4118",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "90 S Park Ave Apt C2",
            "address_purpose": "LOCATION",
            "city": "Rockville Centre",
            "state": "NY",
            "postal_code": "115706113",
            "country_code": "US",
            "telephone_number": "516-578-4118",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "90 S Park Ave Apt C2",
            "address_purpose": "LOCATION",
            "city": "Rockville Centre",
            "state": "NY",
            "postal_code": "115706113",
            "country_code": "US",
            "telephone_number": "516-578-4118",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "90 S Park Ave Apt C2",
            "address_purpose": "LOCATION",
            "city": "Rockville Centre",
            "state": "NY",
            "postal_code": "115706113",
            "country_code": "US",
            "telephone_number": "516-578-4118",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMUCKLER",
        "first_name": "JESSICA",
        "middle_name": "ILANA",
        "credential": "MS, OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-10",
        "last_updated": "2018-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "018402-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Stefani Susan Smith
• Jeffrey S Smoller, MD
• Candra Lynn Snyder, ANP
• Kristin Marie Sobeck, NP
• Evelyn Sylvia Sokolowski, LMHC
• Carrie Sollin, MA, LMHC
• Sophia Konnackal Solomon

• Occupational Therapist in Rockville Centre, NY
• Providers in Rockville Centre, 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 Oct 10, 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.