Active NPI
Jodi Kathleen Wheeler, OT
- Occupational Therapist
- Sauquoit, NY
National Provider Identifier
1992403372
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 027596-01
- Practice address
- 2640 Sulphur Springs Rd
Sauquoit, NY 13456-3220 - Phone
- (315) 839-6339
- NPI assigned
- Feb 16, 2023
- Last updated
- Feb 16, 2023
- 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 | 027596-01 | NY | Primary |
Addresses
Primary practice location
2640 Sulphur Springs Rd
Sauquoit, NY 13456-3220
Mailing address
10 Marshall Ave
Mohawk, NY 13407-1119
Phone (315) 360-4655
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 |
|---|---|---|---|
| 027596-01 | NY | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1676505600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1676505600000",
"number": "1992403372",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 MARSHALL AVE",
"city": "MOHAWK",
"state": "NY",
"postal_code": "134071119",
"telephone_number": "315-360-4655"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2640 SULPHUR SPRINGS RD",
"city": "SAUQUOIT",
"state": "NY",
"postal_code": "134563220",
"telephone_number": "315-839-6339"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHEELER",
"first_name": "JODI",
"middle_name": "KATHLEEN",
"name_prefix": "Ms.",
"credential": "OT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-02-16",
"last_updated": "2023-02-16",
"certification_date": "2023-02-15",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NY",
"license": "027596-01",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sauquoit, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.