Active NPI
Amy Jakob
- Occupational Therapist
- Manorville, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 005913-1
- Practice address
- 5 Tee View CT
Manorville, NY 11949-2939 - Phone
- (631) 874-3032
- Fax
- (631) 874-4105
- NPI assigned
- Nov 23, 2011
- Sex
- Female
- Sole proprietor
- Yes
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 | 005913-1 | NY | Primary |
Addresses
Primary practice location
5 Tee View CT
Manorville, NY 11949-2939
Mailing address
198 Hickory Grove Dr
Larchmont, NY 10538-1408
Phone (917) 846-7735
Other names 1
- Amy Friedman
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 005913-1 | NY | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fox Rehabilitation Physical Therapy Services LLC | Occupational Therapist | Current | Accepting new patients |
| New York Physical and Occupational Therapy Services, PLLC | Occupational Therapist | Current | Accepting new patients |
| Esd PT OT & SLP PLLC | Occupational Therapist | Current | Accepting new patients |
Locations
2632 Atlantic Ave
Brooklyn, NY 11207
Phone (718) 473-3803
2579 Ocean Ave
Fl 3
Brooklyn, NY 11229
Phone (646) 780-0925
2632 Atlantic Ave
#13202
Brooklyn, NY 11207
1415 Richmond Ave
Staten Island, NY 10314
Phone (212) 475-5540
Organizations & group practices 3
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.
-
- Physical Therapist
- New York, NY
- NPI 1174560650
Occupational Therapist
-
- Physical Therapist
- Brooklyn, NY
- NPI 1356703631
Occupational Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1322006400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1322006400000",
"number": "1841567567",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "198 HICKORY GROVE DR",
"city": "LARCHMONT",
"state": "NY",
"postal_code": "105381408",
"telephone_number": "917-846-7735"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5 TEE VIEW CT",
"city": "MANORVILLE",
"state": "NY",
"postal_code": "119492939",
"telephone_number": "631-874-3032",
"fax_number": "631-874-4105"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JAKOB",
"first_name": "AMY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-11-23",
"last_updated": "2011-11-23",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NY",
"license": "005913-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "AMY",
"last_name": "FRIEDMAN",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Manorville, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.