Active NPI
Jackeline Ortiz, MS, OTR/L
- Occupational Therapist
- Bronx, NY
National Provider Identifier
1871817106
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 013206-1
- Practice address
- 2724 Fenton Ave
Bronx, NY 10469-5517 - Phone
- (917) 749-4984
- NPI assigned
- Mar 15, 2010
- Sex
- Female
- Sole proprietor
- No
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 | 013206-1 | NY | Primary |
Addresses
Primary practice location
2724 Fenton Ave
Bronx, NY 10469-5517
Mailing address
2724 Fenton Ave
Bronx, NY 10469-5517
Phone (917) 749-4984
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)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 013206-1 | NY | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1268611200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1315872000000",
"number": "1871817106",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2724 FENTON AVE",
"city": "BRONX",
"state": "NY",
"postal_code": "104695517",
"telephone_number": "917-749-4984"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2724 FENTON AVE",
"city": "BRONX",
"state": "NY",
"postal_code": "104695517",
"telephone_number": "917-749-4984"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ORTIZ",
"first_name": "JACKELINE",
"name_prefix": "Ms.",
"credential": "MS, OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-03-15",
"last_updated": "2011-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NY",
"license": "013206-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.