Jerwyn Guintu, COTA/L

Individual provider Active NPI Occupational Therapy Assistant · Thiells, NY

NPI 1912708686 · NPPES record last updated Mar 20, 2025

Key facts

NPI
1912708686
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapy Assistant 224Z00000X
License
011125 (NY)
Practice address
7 Jacobs Rd
Thiells, NY 10984-1624
Phone
(201) 674-1587
NPI assigned
Mar 20, 2025
Sex
Male
Sole proprietor
Yes

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
011125NYMDOccupational Therapy Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 011125 NY Yes

Addresses

Primary practice location

7 Jacobs Rd
Thiells, NY 10984-1624

Mailing address

7 Jacobs Rd
Thiells, NY 10984-1624
Phone (201) 674-1587

Other providers in Thiells, NY

All providers in Thiells, NY · Occupational Therapy Assistant in New York

Sources for this page

Verify at the official NPI Registry.