JACOB JOJI JACOB
NPI 1215281795
Occupational Therapist in Stormville, NY

Active since November 05, 2012Accepts Medicare Assignment
210 WHITE POND RD, STORMVILLE, NY 12582(646) 591-5508 Get Directions Write a Review

NPPES record last updated: May 27, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Jacob Joji Jacob NPPES

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

JACOB JOJI JACOB (NPI 1215281795) is an individual occupational therapist in Stormville, New York, licensed in New York (017449) and active in the NPI registry since November 2012. He is a graduate of Other (2009).

NPPES Registry Identity

NPI1215281795
Entity TypeIndividualMale
Primary Taxonomy225X00000X
Provider Legal NameJACOB JOJI JACOB
Location Address210 WHITE POND RDStormville, NY 12582-5745
Mailing Address210 White Pond RdStormville, NY 12582-5745
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateNovember 5, 2012
Last NPPES UpdateMay 27, 2025
NPPES CertifiedMay 27, 2025
NPI 1215281795 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 · 017449
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.

210 WHITE POND RD, Stormville, NY 12582

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Jacob Joji Jacob is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8921495201
PECOS Enrollment IDI20220505001286

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1215281795, enumerated as an "individual" on November 05, 2012.

The provider is located at 210 WHITE POND RD STORMVILLE, NY 12582 and the phone number is (646) 591-5508.

Occupational Therapist with taxonomy code 225X00000X.