Active NPI
Jenna R Mann, OTR/L
- Occupational Therapist
- New York, NY
National Provider Identifier
1992921795
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 0136621
- Practice address
- 340 E 24TH St
New York, NY 10010-4019 - Phone
- (212) 585-6217
- Fax
- (212) 585-6209
- NPI assigned
- Apr 18, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 | 0136621 | NY | Primary |
Addresses
Primary practice location
340 E 24TH St
New York, NY 10010-4019
Mailing address
255 W 14TH St
Apt 5C
New York, NY 10011-7111
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0136621 | NY | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176854400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1188950400000",
"number": "1992921795",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "255 W 14TH ST",
"address_2": "APT 5C",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100117111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "340 E 24TH ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100104019",
"telephone_number": "212-585-6217",
"fax_number": "212-585-6209"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANN",
"first_name": "JENNA",
"middle_name": "R",
"name_prefix": "Ms.",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-18",
"last_updated": "2007-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NY",
"license": "0136621",
"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 5, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.