Jenna Marie White, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

027758-01 Issued in NY

Practice address

75 Bayley Rd
Massena, NY 13662-2578

Phone

(315) 764-3730

NPI assigned

Apr 21, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Miss Jenna Marie Kesner Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1682035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682035200000",
    "number": "1992492680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 HIGHLAND AVE",
            "city": "MASSENA",
            "state": "NY",
            "postal_code": "136621823",
            "telephone_number": "315-600-1668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 BAYLEY RD",
            "city": "MASSENA",
            "state": "NY",
            "postal_code": "136622578",
            "telephone_number": "315-764-3730"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "188 Main St",
            "address_purpose": "LOCATION",
            "city": "Massena",
            "state": "NY",
            "postal_code": "136621991",
            "country_code": "US",
            "telephone_number": "315-769-5911",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "25 Owl Ave",
            "address_purpose": "LOCATION",
            "city": "Massena",
            "state": "NY",
            "postal_code": "136622573",
            "country_code": "US",
            "telephone_number": "315-764-3740",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "84 Nightengale Ave",
            "address_purpose": "LOCATION",
            "city": "Massena",
            "state": "NY",
            "postal_code": "136622594",
            "country_code": "US",
            "telephone_number": "315-764-3750",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHITE",
        "first_name": "JENNA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-21",
        "last_updated": "2023-04-21",
        "certification_date": "2023-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "027758-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNA",
            "last_name": "KESNER",
            "middle_name": "MARIE",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Occupational Therapist in Massena, NY
• Providers in Massena, NY by specialty
• Occupational Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 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.

Verify at the official NPI Registry.