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 Bronx, NY

Q: 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.

Q: What is Jennifer Douglas's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jennifer Douglas was last updated on August 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since August 26, 2026

3103 SEDGWICK AVE APT 7E, BRONX, NY 10463(917) 588-7780 Get Directions Write a Review

NPPES record added: August 26, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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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 Bronx, 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 Address3103 SEDGWICK AVE APT 7EBronx, NY 10463-2799

Mailing Address3103 Sedgwick Ave Apt 7eBronx, NY 10463-2799 · (917) 588-7780

Phone(917) 588-7780

Sole ProprietorNo

Enumeration DateAugust 26, 2026

NPPES CertifiedAugust 26, 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.

3103 SEDGWICK AVE APT 7E, Bronx, NY 10463

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Other Names 1

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

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 3103 Sedgwick Ave Apt 7E, Bronx, NY 10463. 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 August 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.