Active NPIIndividual provider

Mrs. Jenna L Fanelli, MS, OTR/L

Occupational Therapist in Mahopac, New York

NPI Number1528687910
Practice location
55 Fulmar RD, Mahopac, NY 10541-4512
Fax
—
Last updated
April 15, 2020

Jenna Lynn Fanelli is an Occupational Therapist based in Mahopac, NY. Jenna Lynn Fanelli practices in Mahopac, NY and has the professional credentials of MS, OTR/L. The NPI Number for Jenna Lynn Fanelli is 1528687910 and holds a License No. 024659 (NY). The current practice location address for Jenna Lynn Fanelli is 55 Fulmar RD, Mahopac, NY 10541-4512 and can be reached out via phone at 845-628-0440.

Provider Profile Details

NPI Number
1528687910
Provider Name
Jenna Lynn Fanelli
Credential
MS, OTR/L
Provider Entity Type
Individual
Gender
Female
Address
55 Fulmar RD, Mahopac, NY 10541-4512
Phone Number
845-628-0440
Primary Taxonomy
Occupational Therapist · 225X00000X
Sole Proprietor
No
Provider Enumeration Date
April 15, 2020
Last Update Date
April 15, 2020
Certification Date
April 15, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
55 Fulmar RD
Mahopac, NY 10541-4512
Zip
10541-4512
Phone Number
845-628-0440
Mahopac, NY 10541Get directions →

Provider Business Mailing Address Details

Address
1 Bayberry RD
Elmsford, NY 10523-1701
City
Elmsford
State
NY
Zip
10523-1701
Phone Number
914-450-1563

License Information

License Number
024659
License State
NY
Taxonomy
Occupational Therapist · 225X00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mrs. Jenna L Fanelli, MS, OTR/L?

The NPI number of Mrs. Jenna L Fanelli, MS, OTR/L is 1528687910. It was assigned on April 15, 2020 and is currently active in the NPPES registry.

What is the specialty of Mrs. Jenna L Fanelli, MS, OTR/L?

Mrs. Jenna L Fanelli, MS, OTR/L is registered under the primary taxonomy Occupational Therapist (code 225X00000X), licensed in NY under license number 024659.

Where does Mrs. Jenna L Fanelli, MS, OTR/L practice?

The practice location is 55 Fulmar RD, Mahopac, NY 10541-4512. The office can be reached at 845-628-0440 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1528687910 directly on the NPPES registry website.

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