Individual provider Active NPI

Jessica L Vanvalkenburg, OT

  • Pediatric Occupational Therapist
  • Lake Peekskill, NY
National Provider Identifier
1871593087
Registry record updated Nov 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
Practice address
66 Johnson St
Lake Peekskill, NY 10537-1309
Phone
(845) 284-2321
NPI assigned
Jul 29, 2005
Last updated
Nov 4, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 4, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X NU Primary

Addresses

Primary practice location

66 Johnson St
Lake Peekskill, NY 10537-1309

Mailing address

66 Johnson St
Lake Peekskill, NY 10537-1309
Phone (845) 284-2321

Other names 1

  • Jessica L Lounsbury Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1122595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1225756800000",
    "number": "1871593087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66 JOHNSON ST",
            "city": "LAKE PEEKSKILL",
            "state": "NY",
            "postal_code": "105371309",
            "telephone_number": "845-284-2321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66 JOHNSON ST",
            "city": "LAKE PEEKSKILL",
            "state": "NY",
            "postal_code": "105371309",
            "telephone_number": "845-284-2321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANVALKENBURG",
        "first_name": "JESSICA",
        "middle_name": "L",
        "credential": "OT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-07-29",
        "last_updated": "2008-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "LOUNSBURY",
            "middle_name": "L",
            "credential": "OT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lake Peekskill, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2008; 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.