Jessica Daugherty, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

017892 Issued in NY

Practice address

646 E Delavan Ave
Buffalo, NY 14215-3012

Phone

(716) 816-7603

NPI assigned

Mar 4, 2013

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)

Not enrolled

Practice roles

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.

• Baker Hall Inc

  • Early Intervention Provider Agency
  • Lackawanna, NY
  • NPI 1700013927
  NPD (past)

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

{
    "created_epoch": "1362355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661990400000",
    "number": "1861733644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "57 MOSSIDE LOOP",
            "city": "WEST SENECA",
            "state": "NY",
            "postal_code": "142243370",
            "telephone_number": "585-750-3061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "646 E DELAVAN AVE",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142153012",
            "telephone_number": "716-816-7603"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "51 Saint Johns Parkside St",
            "address_purpose": "LOCATION",
            "city": "Buffalo",
            "state": "NY",
            "postal_code": "142102515",
            "country_code": "US",
            "telephone_number": "716-828-9560",
            "fax_number": "716-828-9460",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAUGHERTY",
        "first_name": "JESSICA",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-04",
        "last_updated": "2022-09-01",
        "certification_date": "2022-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "017892",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abdalaziz Najwan Fawaz Darwish, M.D
• Alyssa Dasilva, RPA-C
• Lisa Marlin Dasta, FNP-C
• Kevin Wayne Daubner
• Diane Dauer
• Kathryn Jeanne Dauscher
• Avani Dave, OD, FAAO
• Devashree Dave, DMD
• Nikita Chandrakant Dave, MBBS
• Rishi Dave, M.D.

• Occupational Therapist in Buffalo, NY
• Providers in Buffalo, 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 Sep 1, 2022; 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.