MEDICARE: JAZMIN RACHEL RAMIREZ OTR/L

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225X00000X	Occupational Therapist

General Provider Information

NPI Number	:	1245875954
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAZMIN RACHEL RAMIREZ OTR/L

Provider Business Mailing Address
First Line	:	1400 OLD COUNTRY RD STE C103N
Second Line	:
City	:	WESTBURY
State	:	NY
Zip	:	11590-5156
Country	:	US
Telephone Number	:	845-548-6908
Fax Number	:

Provider Business Practice Location Address
First Line	:	254 S MAIN ST STE 310
Second Line	:
City	:	NEW CITY
State	:	NY
Zip	:	10956-3363
Country	:	US
Telephone Number	:	845-638-3072
Fax Number	:	845-638-3073

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/18/2019
Last Update Date	:	09/24/2025

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