Individual provider Active NPI

Jean T Downin, OTR/L

  • Occupational Therapist
  • Walton, NY
National Provider Identifier
1982979043
Registry record updated Mar 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
005362-1 Issued in NY
Practice address
34570 State Highway 10 Ste 1
Walton, NY 13856-4142
Phone
(607) 865-6357
NPI assigned
Mar 21, 2012
Sex
Female
Sole proprietor
Yes

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

LicenseStateTypeSpecialty
005362-1NYMDOccupational Therapist

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 005362-1 NY Primary

Addresses

NPPES NPI Registry

Primary practice location

34570 State Highway 10 Ste 1
Walton, NY 13856-4142

Mailing address

PO Box 812
50 West St
Franklin, NY 13775-0812
Phone (607) 829-8718

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 28, 2012.

{
    "created_epoch": "1332288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332892800000",
    "number": "1982979043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 812",
            "address_2": "50 WEST ST",
            "city": "FRANKLIN",
            "state": "NY",
            "postal_code": "137750812",
            "telephone_number": "607-829-8718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34570 STATE HIGHWAY 10 STE 1",
            "city": "WALTON",
            "state": "NY",
            "postal_code": "138564142",
            "telephone_number": "607-865-6357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOWNIN",
        "first_name": "JEAN",
        "middle_name": "T",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-03-21",
        "last_updated": "2012-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "005362-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Walton, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2012; 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.