Organization Active NPI

Jumping Jax Speech, Physical and Occupational Therapy

  • Pediatric Occupational Therapist
  • New York, NY
National Provider Identifier
1992173140
Registry record updated Sep 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
011923 Issued in NY
Legal business name
JUMPING JAX SPEECH, PHYSICAL AND OCCUPATIONAL THERAPY
Practice address
174 W 76TH St
Suite 1H
New York, NY 10023-8404
Phone
(212) 877-0667
NPI assigned
Sep 4, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2015

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

Authorized official

Name
Karinna Dancourt
Title
Occupational Therapist
Phone
(212) 877-0667

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 2251P0200X 023085-1 NY
Pediatric Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225XP0200X 011923 NY Primary

Addresses

Primary practice location

174 W 76TH St
Suite 1H
New York, NY 10023-8404

Mailing address

174 W 76TH St
Suite 1H
New York, NY 10023-8404
Phone (212) 877-0667

National Provider Directory

National Provider Directory

Locations

174 W 76th St
Apt 1H
New York, NY 10023
Phone (212) 595-0520

NPI Registry JSON

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

{
    "created_epoch": "1441324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441324800000",
    "number": "1992173140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "174 W 76TH ST",
            "address_2": "SUITE 1H",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100238404",
            "telephone_number": "212-877-0667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "174 W 76TH ST",
            "address_2": "SUITE 1H",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100238404",
            "telephone_number": "212-877-0667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUMPING JAX SPEECH, PHYSICAL AND OCCUPATIONAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-04",
        "last_updated": "2015-09-04",
        "status": "A",
        "authorized_official_last_name": "DANCOURT",
        "authorized_official_first_name": "KARINNA",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "212-877-0667"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Pediatrics",
            "state": "NY",
            "license": "023085-1",
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NY",
            "license": "011923",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2015; 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.