Active NPIIndividual providerSole proprietor

Jordan Mandic, OTR/L

Occupational Therapist in Goshen, New York

NPI Number1548011695
Practice location
2001 Nys Route 17M, Goshen, NY 10924
Fax
—
Last updated
September 14, 2026

Jordan Mandic is an Occupational Therapist based in Goshen, NY. Jordan Mandic practices in Goshen, NY and has the professional credentials of OTR/L. The NPI Number for Jordan Mandic is 1548011695 and holds a License No. 029007 (NY). The current practice location address for Jordan Mandic is 2001 Nys Route 17M, Goshen, NY 10924 and can be reached out via phone at 845-458-8661.

Provider Profile Details

NPI Number
1548011695
Provider Name
Jordan Mandic
Credential
OTR/L
Provider Entity Type
Individual
Gender
Female
Address
2001 Nys Route 17M, Goshen, NY 10924
Phone Number
845-458-8661
Primary Taxonomy
Occupational Therapist · 225X00000X
Sole Proprietor
Yes
Provider Enumeration Date
March 28, 2024
Last Update Date
September 14, 2026
Certification Date
September 11, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
2001 Nys Route 17M
Goshen, NY 10924
City
Goshen
Zip
10924
Phone Number
845-458-8661
Goshen, NY 10924Get directions →

Provider Business Mailing Address Details

Address
25 Bigert Dr
New Hampton, NY 10958-4320
City
New Hampton
State
NY
Zip
10958-4320
Phone Number
845-662-4261

License Information

License Number
029007
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 Jordan Mandic, OTR/L?

The NPI number of Jordan Mandic, OTR/L is 1548011695. It was assigned on March 28, 2024 and is currently active in the NPPES registry.

What is the specialty of Jordan Mandic, OTR/L?

Jordan Mandic, OTR/L is registered under the primary taxonomy Occupational Therapist (code 225X00000X), licensed in NY under license number 029007.

Where does Jordan Mandic, OTR/L practice?

The practice location is 2001 Nys Route 17M, Goshen, NY 10924. The office can be reached at 845-458-8661 (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 1548011695 directly on the NPPES registry website.

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