Active NPI
Jenny Occiano
- Physical Therapist
- New York, NY
National Provider Identifier
1932554698
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 039222
- Practice address
- 4015 81St Street, Apt A49
Elmhurst
New York, NY 11373 - Phone
- (551) 265-5872
- NPI assigned
- May 2, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 039222 | NY | Primary |
| Physical Therapy Assistant | 225200000X | 008294 | NY |
Addresses
Primary practice location
4015 81St Street, Apt A49
Elmhurst
New York, NY 11373
Mailing address
4015 81St Street, Apt A49
Elmhurst
New York, NY 11373
Phone (551) 265-5872
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
Great Neck, NY 11021
Phone (212) 842-0080
1110 2ND Ave
New York, NY 10022-2093
1110 2ND Ave
Suite 302
New York, NY 10022-2007
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 039222 | NY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Outreach Physical and Occupational Therapy & Speech Rehabilitation, PLLC | Physical Therapist | Current | Accepting new patients |
Locations
3 Grace Ave
Ste 119
Great Neck, NY 11021
Phone (212) 842-0080
Organizations & group practices 1
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.
-
- Physical Therapist
- Great Neck, NY
- NPI 1841526399
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1462147200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1462147200000",
"number": "1932554698",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4015 81ST STREET, APT A49",
"address_2": "ELMHURST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "11373",
"telephone_number": "551-265-5872"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4015 81ST STREET, APT A49",
"address_2": "ELMHURST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "11373",
"telephone_number": "551-265-5872"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OCCIANO",
"first_name": "JENNY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-05-02",
"last_updated": "2016-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "039222",
"primary": true
},
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "NY",
"license": "008294",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
- Glenn Arthur Occhiogrosso, M.D.
- Mallay Barclay Occhiogrosso, MD
- Isabella Occhipinti, LMHC
- Karen M Occhipinti, NP
- Erika Occiano, PT
- Paula Occiano, RD, CSO, CDN
- Michael Occidental, MD
- Occupational Services for Children and Families
- Occupational Therapy and Social Work Associates
- Occupational Therapy and Social Work Associates, PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2016; 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.