Healthcare Provider Details

I. General information

NPI: 1568309326
Provider Name (Legal Business Name): JENNA PIETRACATELLA OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/30/2026
Last Update Date: 04/30/2026
Certification Date: 04/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2579 OCEAN AVE FL 3
BROOKLYN NY
11229-4552
US

IV. Provider business mailing address

92 MARGARETTA CT
STATEN ISLAND NY
10314-2319
US

V. Phone/Fax

Practice location:
  • Phone: 646-780-0926
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number031093
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: