Active NPI
JJW Occupational Therapy PC
- Home Health Agency
- Fresh Meadows, NY
National Provider Identifier
1972193365
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- JJW OCCUPATIONAL THERAPY PC
- Practice address
- 198-01 C 67TH Ave
Apt. 1a
Fresh Meadows, NY 11365-4281 - Phone
- (347) 956-6445
- NPI assigned
- Jan 20, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jessica E Perez, MS OTR/L
- Title
- Owner
- Phone
- (347) 956-6445
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
198-01 C 67TH Ave
Apt. 1a
Fresh Meadows, NY 11365-4281
Mailing address
198-01 C 67TH Ave
Apt. 1a
Fresh Meadows, NY 11365-4281
Phone (347) 956-6445
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jperezotr@icloud.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Occupational Therapist
- Fresh Meadows, NY
- NPI 1811334055
-
- Specialist
- Brooklyn, NY
- NPI 1043253073
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1611100800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1679184000000",
"number": "1972193365",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "198-01 C 67TH AVE",
"address_2": "APT. 1A",
"city": "FRESH MEADOWS",
"state": "NY",
"postal_code": "113654281",
"telephone_number": "347-956-6445"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "198-01 C 67TH AVE",
"address_2": "APT. 1A",
"city": "FRESH MEADOWS",
"state": "NY",
"postal_code": "113654281",
"telephone_number": "347-956-6445"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JJW OCCUPATIONAL THERAPY PC",
"organizational_subpart": "NO",
"enumeration_date": "2021-01-20",
"last_updated": "2023-03-19",
"certification_date": "2023-03-19",
"status": "A",
"authorized_official_last_name": "PEREZ",
"authorized_official_first_name": "JESSICA",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "347-956-6445",
"authorized_official_credential": "MS OTR/L"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jperezotr@icloud.com",
"affiliation": "N",
"endpointDescription": "Email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "198-01 C 67th Ave",
"address_2": "Apt. 1A",
"city": "Fresh Meadows",
"state": "NY",
"country_code": "US",
"postal_code": "113654281",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Fresh Meadows, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.