Organization Active NPI

JJW Occupational Therapy PC

  • Home Health Agency
  • Fresh Meadows, NY
National Provider Identifier
1972193365
Registry record updated Mar 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
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

Updated by the provider on Mar 19, 2023

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

Authorized official

Name
Jessica E Perez, MS OTR/LNPI 1811334055
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)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
Direct Messaging Address jperezotr@icloud.com Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210311001191 NY Part B Supplier - Physical/Occupational Therapy Group in Private Practice 2961818257 Receives reassigned benefits from 1 practitioner
Practice locations: Fresh Meadows, NY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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.

Verify at the official NPI Registry.