Individual provider Active NPI

Jayla Kinsey

  • Occupational Therapist
  • Syracuse, NY
National Provider Identifier
1922457936
Registry record updated Jan 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
028082-01 Issued in NY
Practice address
1622 Hawley Ave
Syracuse, NY 13206-3539
Phone
(315) 491-9077
NPI assigned
Jun 9, 2016
Last updated
Jan 15, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 15, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X NY
Occupational Therapist 225X00000X 028082-01 NY Primary

Addresses

Primary practice location

1622 Hawley Ave
Syracuse, NY 13206-3539

Mailing address

1622 Hawley Ave
Syracuse, NY 13206-3539
Phone (315) 254-1603

Other practice location 1

1934 Ellis Ave
1st floor
Bronx, NY 10472-5006
Phone (315) 254-1603

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240216004152 NY Practitioner - Occupational Therapist in Private Practice 3274977236 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2021
Medicare assignment
May accept Medicare assignment
Group practices
Metro Care Providers PT PLLCGroup PAC ID 2163872201, 12 clinicians

Practice addresses (Care Compare)

170 Murray St
Auburn, NY 13021-1335
Phone (718) 627-8100

2981 Town Ctr Rd
Baldwinsville, NY 13027-8120
Phone (315) 638-9207

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
028082-01NYMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Bienetre Medical PC Occupational Therapist CurrentSince Dec 28, 2025 Accepting new patients
Metro Care Providers PT, PLLC CurrentSince Feb 1, 2024 Accepting new patients
Achieve Occupational Therapy and Physical Therapy of Brooklyn, PLLC CurrentSince Oct 19, 2025 Accepting new patients
Bryant Rehabilitation Services, LLC Occupational Therapist CurrentSince Apr 2, 2025 Accepting new patients
Home-Based Physical Therapy PLLC Occupational Therapist PastSince Mar 4, 2020 Accepting new patients

Locations

170 Murray St
Auburn, NY 13021
Phone (315) 253-2755

2981 Town Center Rd
Baldwinsville, NY 13027
Phone (315) 638-9207

813 Quentin Rd
Ste 106
Brooklyn, NY 11223
Phone (718) 506-9663

99 Hudson St
Fl 5
New York, NY 10013
Phone (646) 301-2578

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1465430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705276800000",
    "number": "1922457936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1622 HAWLEY AVE",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132063539",
            "telephone_number": "315-254-1603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1622 HAWLEY AVE",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132063539",
            "telephone_number": "315-491-9077"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1934 Ellis Ave",
            "address_2": "1st floor",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104725006",
            "country_code": "US",
            "telephone_number": "315-254-1603",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KINSEY",
        "first_name": "JAYLA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-09",
        "last_updated": "2024-01-15",
        "certification_date": "2024-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "NY",
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "028082-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Syracuse, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.