Individual provider Active NPI

Jennifer Oliver, M.S., OTR/L

  • Occupational Therapist
  • Clifton Park, NY
National Provider Identifier
1902052905
Registry record updated Aug 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
014644-1 Issued in NY
Practice address
964A Route 146 Ste 2
Clifton Park, NY 12065-3670
Phone
(518) 209-9648
NPI assigned
Aug 11, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 014644-1 NY Primary

Addresses

Primary practice location

964A Route 146 Ste 2
Clifton Park, NY 12065-3670

Mailing address

82 Southbury Rd
Clifton Park, NY 12065-7709
Phone (518) 209-9648

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

LicenseStateTypeSpecialty
014644-1NYMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Distance Therapies Occupational Therapy, PLLC Occupational Therapist CurrentSince Mar 27, 2022 Accepting new patients
Distance Therapies Occupational Therapy, PLLC CurrentSince Nov 27, 2022 Accepting new patients

Locations

800 Route 146
Ste 494
Clifton Park, NY 12065
Phone (518) 209-9648

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1218412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788134400000",
    "number": "1902052905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "82 SOUTHBURY RD",
            "city": "CLIFTON PARK",
            "state": "NY",
            "postal_code": "120657709",
            "telephone_number": "518-209-9648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "964A ROUTE 146 STE 2",
            "city": "CLIFTON PARK",
            "state": "NY",
            "postal_code": "120653670",
            "telephone_number": "518-209-9648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLIVER",
        "first_name": "JENNIFER",
        "credential": "M.S., OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-11",
        "last_updated": "2026-08-31",
        "certification_date": "2026-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "014644-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clifton Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2026; 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.