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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

JENNIFER DOUGLAS OTD, OTR/L
NPI 1104733088
Occupational Therapist - Mental Health in New York, NY

Active since August 26, 2026
125 PARK AVE FL 25, NEW YORK, NY 10017(917) 588-7780 Get Directions Write a Review

NPPES record added: October 15, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 15, 2026, Aug 26, 2026 (2 updates tracked since 2026).

About Jennifer Douglas Otd, Otr/l NPPES

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

JENNIFER DOUGLAS OTD, OTR/L (NPI 1104733088) is an individual mental health provider in New York, New York, licensed in New York (028878) and active in the NPI registry since August 2026.

NPPES Registry Identity

NPI1104733088
Entity TypeIndividualFemale
Primary Taxonomy225XM0800X
Provider Legal NameJENNIFER DOUGLASCredential: OTD, OTR/L
Location Address125 PARK AVE FL 25New York, NY 10017-5550
Mailing Address125 Park Ave Fl 25New York, NY 10017-5550 · (917) 588-7780
Phone(917) 588-7780
Sole ProprietorNo
Enumeration DateAugust 26, 2026
Last NPPES UpdateOctober 15, 20262 updates tracked since enumeration
NPPES CertifiedOctober 15, 2026
✔ NPI 1104733088 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOccupational Therapist · Mental HealthRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225XM0800X
License✔ Licensed in NY · 028878
Definition
Occupational therapists provide treatment for people recovering from a mental or physical illness to regain their independence and stability and to engage in normal daily occupations (work, home, family life, school, leisure). Occupational therapists provide particular emphasis on interventions that result in improved quality of life and decrease hospitalization.
125 PARK AVE FL 25, New York, NY 10017
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Other Names 1

Former Name (1)Jennifer Puac Otd, Otr/l

Other Providers at the Same Location NPPES 4

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

MS. FELICITA GEORGINA EGEDE LMHC, MSW
Counselor (Mental Health)
125 PARK AVE FL 25
NEW YORK, NY 10017
New York County (646) 982-0906
JAYCEE CONSULTING AND PSYCHOTHERAPY ASSOCIATES
Counselor (Mental Health)
125 PARK AVE FL 25
NEW YORK, NY 10017
New York County (646) 982-0906
YOON IM KANE LCSW PC
Social Worker (Clinical)
125 PARK AVE FL 25
NEW YORK, NY 10017
New York County (917) 880-9493
DR. JAMES CHUKUEMEKE EGEDE, SR PH.D.
Counselor (Mental Health)
125 PARK AVE FL 25
NEW YORK, NY 10017
New York County (646) 982-0906

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 Jennifer Douglas's NPI number?

The NPI number for Jennifer Douglas is 1104733088. It was assigned to this individual provider in the NPPES registry on August 26, 2026. The provider is also known as Jennifer Puac Otd, Otr/L.

Where is Jennifer Douglas located?

Jennifer Douglas practices at 125 Park Ave Fl 25, New York, NY 10017. The listed phone number is (917) 588-7780.

What is Jennifer Douglas's specialty?

The primary specialty registered for this NPI is Occupational Therapist, specializing in Mental Health, with taxonomy code 225XM0800X.

When was this NPI record last updated?

The NPPES record for Jennifer Douglas was last updated on October 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 days 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.