JACKLYN MARIE IANNITTI OTR/L
NPI 1043672595
Occupational Therapist in Bayside, NY

Active since March 23, 2016
3436 BELL BLVD, BAYSIDE, NY 11361(917) 574-5415 Get Directions Write a Review

NPPES record last updated: May 2, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 2, 2026, Jan 14, 2026, Mar 23, 2016 (3 updates tracked since 2016).

About Jacklyn Marie Iannitti Otr/l NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACKLYN MARIE IANNITTI OTR/L (NPI 1043672595) is an individual occupational therapist in Bayside, New York, licensed in New York (020007) and active in the NPI registry since March 2016. She maintains a secondary practice location in Great Neck and is a graduate of Other (2015).

NPPES Registry Identity

NPI1043672595
Entity TypeIndividualFemale
Primary Taxonomy225X00000X
Provider Legal NameJACKLYN MARIE IANNITTICredential: OTR/L
Location Address3436 BELL BLVDBayside, NY 11361-2375
Mailing Address21343 35th AveBayside, NY 11361-2372 · (917) 574-5415
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateMarch 23, 2016
Last NPPES UpdateMay 2, 20263 updates tracked since enumeration
NPPES CertifiedMay 2, 2026
✔ NPI 1043672595 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOccupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225X00000X
License✔ Licensed in NY · 020007
Definition
An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life.
3436 BELL BLVD, Bayside, NY 11361

Secondary Practice Location 1

Location 1475 Northern Blvd Ste 19Great Neck, NY 11021-4802 · Phone (516) 829-0030 · Fax (516) 466-7723

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jacklyn Marie Iannitti Otr/l is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID840754487
PECOS Enrollment IDI20260714004358

Medicare Billing Reassignment

Medicare enrollment records show Jacklyn Iannitti reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Specialist
475 NORTHERN BLVD STE 19
Great Neck, NY 11021
  • Reassigned Medicare billing, New York enrollment
  • 99 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Occupational Therapist
3436 BELL BLVD
BAYSIDE, NY 11361

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jacklyn Iannitti's NPI number?

The NPI number for Jacklyn Iannitti is 1043672595. It was assigned to this individual provider in the NPPES registry on March 23, 2016.

Where is Jacklyn Iannitti located?

Jacklyn Iannitti practices at 3436 Bell Blvd, Bayside, NY 11361. The listed phone number is (917) 574-5415.

What is Jacklyn Iannitti's specialty?

The primary specialty registered for this NPI is Occupational Therapist with taxonomy code 225X00000X.

Is Jacklyn Iannitti enrolled in Medicare?

Yes. Jacklyn Iannitti is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jacklyn Iannitti's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jacklyn Iannitti reassigns Medicare benefits to Reddy Care Physical And Occupational Therapy PLLC (Great Neck, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jacklyn Iannitti's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jacklyn Iannitti was last updated on May 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.