Individual provider Active NPI

Jessica Kwok, OTR

  • Occupational Therapist
  • New York, NY
National Provider Identifier
1962299362
Registry record updated May 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
030060 Issued in NY
Practice address
139 E 57TH St FL 3
New York, NY 10022-2102
Phone
(212) 753-4767
Fax
(212) 753-4076
NPI assigned
Apr 21, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 20, 2025

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 030060 NY Primary

Addresses

Primary practice location

139 E 57TH St FL 3
New York, NY 10022-2102

Mailing address

1255 5TH Ave Apt 6L
New York, NY 10029-3996
Phone (914) 400-1500

Other practice location 1

1015 Saw Mill River Rd
Ardsley, NY 10502-1118
Phone (914) 400-1500

Other practice location 2

1 Hanson Pl Ste 704
Brooklyn, NY 11243-2907
Phone (718) 857-1900

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250530001093 NY Practitioner - Occupational Therapist in Private Practice 4183133382 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Health Sos PT PCGroup PAC ID 7214955533, 24 clinicians

Practice addresses (Care Compare)

139 E 57TH St
New York, NY 10022-2102
Phone (914) 400-1500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
030060NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Health Sos PT PC Occupational Therapist CurrentSince Apr 21, 2025 Accepting new patients

Locations

1 Hanson Pl
Brooklyn, NY 11243
Phone (718) 783-0934

1 Hanson Pl
Ste 704
Brooklyn, NY 11243
Phone (718) 857-1900

1255 5th Ave
Apt 6L
New York, NY 10029
Phone (914) 390-0080

139 E 57th St
New York, NY 10022
Phone (212) 753-4767

139 E 57th St
Fl 3
New York, NY 10022
Phone (212) 753-4767

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.

NPI Registry JSON

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

{
    "created_epoch": "1745193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747699200000",
    "number": "1962299362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1255 5TH AVE APT 6L",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100293996",
            "telephone_number": "914-400-1500",
            "fax_number": "914-478-8781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "139 E 57TH ST FL 3",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100222102",
            "telephone_number": "212-753-4767",
            "fax_number": "212-753-4076"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1015 Saw Mill River Rd",
            "address_purpose": "LOCATION",
            "city": "Ardsley",
            "state": "NY",
            "postal_code": "105021118",
            "country_code": "US",
            "telephone_number": "914-400-1500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Hanson Pl Ste 704",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112432907",
            "country_code": "US",
            "telephone_number": "718-857-1900",
            "fax_number": "718-857-1902",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KWOK",
        "first_name": "JESSICA",
        "credential": "OTR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-04-21",
        "last_updated": "2025-05-20",
        "certification_date": "2025-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "030060",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2025; 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.