NPIMap

Organization Active NPI

At Home Rehab OT

  • Occupational Medicine Clinic/Center
  • Suffern, NY
National Provider Identifier
1942969134
Registry record updated Mar 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Medicine Clinic/CenterTaxonomy code 261QX0100X
Legal business name
AT HOME REHAB OT
Practice address
56 Pomona Rd
Suffern, NY 10901-1800
Phone
(845) 307-7200
NPI assigned
Dec 15, 2021
Last updated
Mar 25, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2022

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

Authorized official

Name
Elisheva Jacobson, OTR/LNPI 1558516740
Title
Member
Phone
(845) 307-7200

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Medicine Clinic/Center 261QX0100X Primary

Addresses

Primary practice location

56 Pomona Rd
Suffern, NY 10901-1800

Mailing address

56 Pomona Rd
Suffern, NY 10901-1800

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://www.kareo.com/ On The Ball Occupational Therapy PLLC

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1639526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648166400000",
    "number": "1942969134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "56 POMONA RD",
            "city": "SUFFERN",
            "state": "NY",
            "postal_code": "109011800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "56 POMONA RD",
            "city": "SUFFERN",
            "state": "NY",
            "postal_code": "109011800",
            "telephone_number": "845-307-7200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AT HOME REHAB OT",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-15",
        "last_updated": "2022-03-25",
        "certification_date": "2022-03-25",
        "status": "A",
        "authorized_official_last_name": "JACOBSON",
        "authorized_official_first_name": "ELISHEVA",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "845-307-7200",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "261QX0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Occupational Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.kareo.com/",
            "affiliation": "Y",
            "affiliationName": "On The Ball Occupational Therapy PLLC",
            "address_1": "56 Pomona Rd",
            "city": "Suffern",
            "state": "NY",
            "country_code": "US",
            "postal_code": "109011800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Suffern, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2022; 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.