Jennifer Nicole Iannello, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

024159 Issued in NY

Practice address

7 E 14TH St
New York, NY 10003-3115

Phone

(646) 973-5438

NPI assigned

Dec 8, 2019

Last updated

Dec 8, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• On Track Occupational Therapy LLC

  • Occupational Therapist
  • River Vale, NJ
  • NPI 1972249332
  NPD Authorized official

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

{
    "created_epoch": "1575763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575763200000",
    "number": "1972140077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66 STANDISH RD",
            "city": "HILLSDALE",
            "state": "NJ",
            "postal_code": "076421118",
            "telephone_number": "516-491-8697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 E 14TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100033115",
            "telephone_number": "646-973-5438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IANNELLO",
        "first_name": "JENNIFER",
        "middle_name": "NICOLE",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-08",
        "last_updated": "2019-12-08",
        "certification_date": "2019-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NJ",
            "license": "46TR00899200",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "024159",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rubeena Naz Ianigro, LMSW
• Mary C Iann, CRNA
• Ella Iannacone, FNP
• Erin Mills Iannacone, M.D.
• Victoria Jean Iannarone, MD
• Samantha Iannello, PA-C
• Giorgia Iannetti, PA-C
• Rosa C. Ianni, NP
• Armando Iannicello, M.D
• Ava Patrice Iannitti, LCSW

• Occupational Therapist in New York, NY
• Providers in New York, NY by specialty
• Occupational Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2019; 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.