Individual provider Active NPI

Jacquelyn Potente Nash, OTD, OTR/L

  • Occupational Therapist
  • Kingston, NY
National Provider Identifier
1932937133
Registry record updated Jul 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
029256 Issued in NY
Practice address
34 Grandview Ave
Kingston, NY 12401-5253
Phone
(845) 399-7478
NPI assigned
Jul 22, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2024

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 029256 NY Primary

Addresses

Primary practice location

34 Grandview Ave
Kingston, NY 12401-5253

Mailing address

34 Grandview Ave
Kingston, NY 12401-5253

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241029004252 NY Practitioner - Occupational Therapist in Private Practice 0143753137 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2024
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Montefiore Medical CenterGroup PAC ID 3779496021, 2,809 clinicians

Practice addresses (Care Compare)

111 E 210TH St
Bronx, NY 10467-2401
Phone (866) 633-8255

111 Maiden LN
Kingston, NY 12401-4525
Phone (845) 331-8590

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
029256NYMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
JH Therapy Services Occupational Therapist CurrentSince Jan 15, 2026 Accepting new patients
Access PT, OT, New York, PLLC CurrentSince Sep 23, 2024 Accepting new patients
Montefiore Medical Center CurrentSince Feb 3, 2025 Accepting new patients
Montefiore Medical Center CurrentSince Feb 3, 2025 Accepting new patients
JH Therapy Services Occupational Therapist CurrentSince Jan 15, 2026 Accepting new patients

Locations

111 E 210th St
Bronx, NY 10467

16 Maybrook Rd
Ste L
Campbell Hall, NY 10916

111 Maiden Ln
Kingston, NY 12401
Phone (845) 331-8590

246 Main St
Ste 8
New Paltz, NY 12561
Phone (845) 419-5033

228 Park Ave S
New York, NY 10003
Phone (215) 588-2144

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1721606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721606400000",
    "number": "1932937133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 GRANDVIEW AVE",
            "city": "KINGSTON",
            "state": "NY",
            "postal_code": "124015253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 GRANDVIEW AVE",
            "city": "KINGSTON",
            "state": "NY",
            "postal_code": "124015253",
            "telephone_number": "845-399-7478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NASH",
        "first_name": "JACQUELYN",
        "middle_name": "POTENTE",
        "name_prefix": "Dr.",
        "credential": "OTD, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-22",
        "last_updated": "2024-07-22",
        "certification_date": "2024-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "029256",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingston, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 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.