Individual provider Active NPI

Jean Gardy Bontemps, OTR

  • Occupational Therapist
  • Brooklyn, NY
National Provider Identifier
1912408949
Registry record updated Feb 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
022211 Issued in NY
Practice address
1077 Remsen Ave
Brooklyn, NY 11236-3451
Phone
(718) 219-1646
NPI assigned
Feb 25, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 25, 2018

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 022211 NY Primary

Addresses

Primary practice location

1077 Remsen Ave
Brooklyn, NY 11236-3451

Mailing address

1441 E 93Rd St
Brooklyn, NY 11236-5042
Phone (718) 219-1646

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

NPI Registry JSON

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

{
    "created_epoch": "1519516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519516800000",
    "number": "1912408949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1441 E 93RD ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112365042",
            "telephone_number": "718-219-1646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1077 REMSEN AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112363451",
            "telephone_number": "718-219-1646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONTEMPS",
        "first_name": "JEAN",
        "middle_name": "GARDY",
        "credential": "OTR",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-02-25",
        "last_updated": "2018-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "022211",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2018; 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.