MEDICARE: JH THERAPY SERVICES

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	:	1902618218
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JH THERAPY SERVICES

Provider Business Mailing Address
First Line	:	228 PARK AVE S # 36053
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10003-1502
Country	:	US
Telephone Number	:	212-321-5113
Fax Number	:

Provider Business Practice Location Address
First Line	:	790 N MILWAUKEE ST # 30236053
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53202-3724
Country	:	US
Telephone Number	:	212-321-5113
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DANIEL ELLIOT
Credential	:	OT
Telephone Number	:	516-851-5390

Provider Enumeration Date	:	01/23/2025
Last Update Date	:	01/23/2025

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