Active NPI
Jenna Marie Norris, OTR/L
- Occupational Therapist
- Massapequa, NY
National Provider Identifier
1972253433
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 026664
- Practice address
- 669 Broadway
Massapequa, NY 11758-2314 - Phone
- (516) 799-2900
- NPI assigned
- Mar 28, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 026664 | NY | Primary |
Addresses
Primary practice location
669 Broadway
Massapequa, NY 11758-2314
Mailing address
3583 Manhasset St
Seaford, NY 11783-3028
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 026664 | NY | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sensational Development OT, PLLC | Past | Accepting new patients | |
| Sensational Development OT, PLLC | Occupational Therapist | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Occupational Therapist
- Massapequa, NY
- NPI 1447017074
-
- Pediatric Occupational Therapist
- Massapequa, NY
- NPI 1750625703
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1648425600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1648425600000",
"number": "1972253433",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3583 MANHASSET ST",
"city": "SEAFORD",
"state": "NY",
"postal_code": "117833028"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "669 BROADWAY",
"city": "MASSAPEQUA",
"state": "NY",
"postal_code": "117582314",
"telephone_number": "516-799-2900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NORRIS",
"first_name": "JENNA",
"middle_name": "MARIE",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-03-28",
"last_updated": "2022-03-28",
"certification_date": "2022-03-28",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NY",
"license": "026664",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Massapequa, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 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.